DIANE C DEATHERAGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058854

License Status

NOT RENEWED

Business

First Name

DIANE C

Last Name

DEATHERAGE

Business Name

DIANE C DEATHERAGE

Original Issue Date

12/27/1983

Effective Date

09/14/2006

Expiration Date

01/31/2009

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/20/2008