DIANE C BOULICAULT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041281136

License Status

INACTIVE

Business

First Name

DIANE C

Last Name

BOULICAULT

Business Name

DIANE C BOULICAULT

Original Issue Date

05/12/1994

Effective Date

04/20/2018

Expiration Date

09/30/2020

City

ST LOUIS

State

Zip

63109

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/08/2020