DIANE M EBERSOLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078167

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

EBERSOLE

Business Name

DIANE M EBERSOLE

Original Issue Date

10/12/1995

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/15/2005