DIANE S SULLENTRUP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041166676

License Status

NOT RENEWED

Business

First Name

DIANE S

Last Name

SULLENTRUP

Business Name

DIANE S SULLENTRUP

Original Issue Date

04/01/1976

Effective Date

04/01/1976

Expiration Date

05/31/1990

City

ST CHARLES

State

Zip

63301

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006