DIANA LYNN BLAINE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090044

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

LYNN

Last Name

BLAINE

Business Name

DIANA LYNN BLAINE

Original Issue Date

08/13/2004

Effective Date

01/24/2005

Expiration Date

01/31/2007

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/16/2007