DIANE KLOS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041396071

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

KLOS

Business Name

DIANE KLOS

Original Issue Date

08/24/2011

Effective Date

04/12/2012

Expiration Date

05/31/2014

City

BEDFORD

State

Zip

03110

County

NEW HAMPSHIRE

Ever Disciplined

LastModifiedDate

07/03/2014