DIANE M SMALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090752

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

SMALL

Business Name

DIANE M SMALL

Original Issue Date

12/01/2004

Effective Date

02/02/2009

Expiration Date

01/31/2011

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

03/10/2011