DIANE S SULLENTRUP - Registered Nurse License in Missouri | # 041166676

DIANE S SULLENTRUP

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041166676

License Status

NOT RENEWED

Business

N

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

State

MO

Ever Disciplined

N

LastModifiedDate

09/27/2006