DIANE A LANE-MELVIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089449

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

LANE-MELVIN

Business Name

DIANE A LANE-MELVIN

Original Issue Date

01/05/2004

Effective Date

01/18/2005

Expiration Date

01/31/2007

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/16/2007