DIANE M SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109203

License Status

INACTIVE

Business

First Name

DIANE

Middle

Last Name

SMITH

Business Name

DIANE M SMITH

Original Issue Date

10/21/2009

Effective Date

12/13/2010

Expiration Date

01/31/2013

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

11/08/2012