DIANE V SMALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073662

License Status

INACTIVE

Business

First Name

DIANE V

Last Name

SMALL

Business Name

DIANE V SMALL

Original Issue Date

06/09/1993

Effective Date

01/06/2009

Expiration Date

01/31/2011

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

11/03/2010