DIANA M SELF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070525

License Status

NOT RENEWED

Business

First Name

DIANA M

Last Name

SELF

Business Name

DIANA M SELF

Original Issue Date

12/04/1991

Expiration Date

01/31/1995

City

WINTHROP HARBOR

State

Zip

60096

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005