MARIVIC LUBOG DIAZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041458343

License Status

NOT RENEWED

Business

First Name

MARIVIC

Middle

LUBOG

Last Name

DIAZ

Business Name

MARIVIC LUBOG DIAZ

Original Issue Date

09/20/2017

Effective Date

09/20/2017

Expiration Date

05/31/2018

City

BRENTWOOD

State

Zip

37027

County

TENNESSEE

Ever Disciplined

LastModifiedDate

07/19/2018