DIANA L POTUCEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041091605

License Status

INACTIVE

Business

First Name

DIANA L

Last Name

POTUCEK

Business Name

DIANA L POTUCEK

Original Issue Date

12/01/1958

Effective Date

12/01/1958

Expiration Date

05/31/1984

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006