DIANE JEANNE FOSSETT-CRUDUP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088169

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

JEANNE

Last Name

FOSSETT-CRUDUP

Business Name

DIANE JEANNE FOSSETT-CRUDUP

Original Issue Date

12/30/2002

Effective Date

01/21/2005

Expiration Date

01/31/2007

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/16/2007