KATHY LEE DIAZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043056047

License Status

NOT RENEWED

Business

First Name

KATHY LEE

Last Name

DIAZ

Business Name

KATHY LEE DIAZ

Original Issue Date

02/23/1983

Expiration Date

01/31/1987

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005