DIANE MARIE JELLISON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146186

License Status

INACTIVE

Business

First Name

DIANE MARIE

Last Name

JELLISON

Business Name

DIANE MARIE JELLISON

Original Issue Date

11/02/1972

Effective Date

11/02/1972

Expiration Date

05/31/2006

City

MANCHESTER

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006