DIANA L ILLIES Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145077

License Status

INACTIVE

Business

First Name

DIANA L

Last Name

ILLIES

Business Name

DIANA L ILLIES

Original Issue Date

09/28/1972

Effective Date

09/28/1972

City

BLOOMINGTON

State

Zip

55431

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/27/2006