DIANE JORGENSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034891

License Status

INACTIVE

Business

First Name

DIANE

Last Name

JORGENSON

Business Name

DIANE JORGENSON

Original Issue Date

04/24/1974

Effective Date

12/03/2004

Expiration Date

01/31/2005

City

MOODY

State

Zip

76557

County

TEXAS

Ever Disciplined

LastModifiedDate

10/15/2005