ROBERTA M DIAZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066737

License Status

NOT RENEWED

Business

First Name

ROBERTA M

Last Name

DIAZ

Business Name

ROBERTA M DIAZ

Original Issue Date

01/28/1989

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

07/22/2009