DIANE C MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073607

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

MOORE

Business Name

DIANE C MOORE

Original Issue Date

04/29/1993

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CROWNPOINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2005