DIANE LOIS LEWIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041164550

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

LOIS

Last Name

LEWIS

Business Name

DIANE LOIS LEWIS

Original Issue Date

10/24/1975

Effective Date

04/16/2010

Expiration Date

05/31/2012

City

JACKSON

State

Zip

39212

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

07/10/2012