DIANA L CARLSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087054

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

CARLSON

Business Name

DIANA L CARLSON

Original Issue Date

01/30/2002

Effective Date

01/05/2015

Expiration Date

01/31/2017

City

ANDOVER

State

Zip

61233

County

HENRY

Ever Disciplined

LastModifiedDate

03/27/2017