DIANE M FANTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041202950

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

FANTIN

Business Name

DIANE M FANTIN

Original Issue Date

05/19/1981

Effective Date

05/19/1981

Expiration Date

05/01/1982

City

BATTLECREEK

State

Zip

49015

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006