THERESA DIANE DALE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075344

License Status

NOT RENEWED

Business

First Name

THERESA DIANE

Last Name

DALE

Business Name

THERESA DIANE DALE

Original Issue Date

03/05/1994

Expiration Date

01/31/1995

City

DONGOLA

State

Zip

62926

County

UNION

Ever Disciplined

LastModifiedDate

10/21/2005