DIANE L HARTZOG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041216713

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

HARTZOG

Business Name

DIANE L HARTZOG

Original Issue Date

07/18/1983

Effective Date

07/18/1983

Expiration Date

05/31/1986

City

PEWAUKEE

State

Zip

53072

Ever Disciplined

LastModifiedDate

09/27/2006