DIANA L CHAVEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059966

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

CHAVEZ

Business Name

DIANA L CHAVEZ

Original Issue Date

01/18/1985

Expiration Date

01/31/1993

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005