DIANNE L MUMMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105434

License Status

NOT RENEWED

Business

First Name

DIANNE L

Last Name

MUMMA

Business Name

DIANNE L MUMMA

Original Issue Date

01/16/1963

Effective Date

01/16/1963

City

FAIRFAX

State

Zip

22030

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/27/2006