SHIRLEY A DIAZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041106866

License Status

INACTIVE

Business

First Name

SHIRLEY A

Last Name

DIAZ

Business Name

SHIRLEY A DIAZ

Original Issue Date

08/28/1963

Effective Date

08/28/1963

Expiration Date

05/31/1992

City

MAUSTON

State

Zip

53948

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006