DIANE JO CARLSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041191062

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

CARLSON

Business Name

DIANE JO CARLSON

Original Issue Date

10/17/1979

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021