DIANE MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132470

License Status

INACTIVE

Business

First Name

DIANE

Last Name

MARTIN

Business Name

DIANE MARTIN

Original Issue Date

09/16/1969

Effective Date

09/16/1969

Expiration Date

05/31/1990

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006