DIANE M EBERSOLE - Registered Nurse License in Illinois | # 043078167

DIANE M EBERSOLE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078167

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

M

Last Name

EBERSOLE

Business Name

DIANE M EBERSOLE

Original Issue Date

10/12/1995

Effective Date

03/04/2003

Expiration Date

01/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005