DIANA JOY SHUPACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169880

License Status

INACTIVE

Business

First Name

DIANA JOY

Last Name

SHUPACK

Business Name

DIANA JOY SHUPACK

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/1990

City

CAMBRIDGE

State

Zip

02138

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/27/2006