DIANA LYNN FOGDERUD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210898

License Status

ACTIVE

Business

First Name

DIANA

Middle

LYNN

Last Name

FOGDERUD

Business Name

DIANA LYNN FOGDERUD

Original Issue Date

09/23/1982

Effective Date

06/30/2024

Expiration Date

05/31/2026

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/28/2026