PAMELA SUE DIAZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104612

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

SUE

Last Name

DIAZ

Business Name

PAMELA SUE DIAZ

Original Issue Date

10/17/2007

Effective Date

01/12/2015

Expiration Date

01/31/2017

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

03/27/2017