DIANE M FORBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041307293

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

FORBERG

Business Name

DIANE M FORBERG

Original Issue Date

12/18/1997

Effective Date

12/18/1997

Expiration Date

05/31/1998

City

NORTHFIELD

State

Zip

55057

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/27/2006