SUSAN A DIAZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066780

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

DIAZ

Business Name

SUSAN A DIAZ

Original Issue Date

01/28/1989

Expiration Date

01/31/1993

City

THOMPSONVILLE

State

Zip

62890

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/21/2005