DIANE L WAZLAVEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054131

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

WAZLAVEK

Business Name

DIANE L WAZLAVEK

Original Issue Date

05/10/1982

Expiration Date

01/31/1985

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/21/2005