DIANE J LARSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124661

License Status

INACTIVE

Business

First Name

DIANE J

Last Name

LARSEN

Business Name

DIANE J LARSEN

Original Issue Date

01/02/1968

Effective Date

01/02/1968

Expiration Date

05/01/1982

City

GREEN BAY

State

Zip

54301

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006