DIANNA L KLOCKENGA - Registered Nurse License in Illinois | # 043075295

DIANNA L KLOCKENGA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075295

License Status

NOT RENEWED

Business

N

First Name

DIANNA

Middle

L

Last Name

KLOCKENGA

Business Name

DIANNA L KLOCKENGA

Original Issue Date

02/22/1994

Effective Date

03/07/2001

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005