JENNISA D DIAZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107680

License Status

NOT RENEWED

Business

First Name

JENNISA

Middle

Last Name

DIAZ

Business Name

JENNISA D DIAZ

Original Issue Date

03/17/2009

Effective Date

02/14/2011

Expiration Date

01/31/2013

City

PRAIRIE VIEW

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

03/20/2013