DIANE L FUMICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041285183

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

FUMICH

Business Name

DIANE L FUMICH

Original Issue Date

10/07/1994

Effective Date

10/07/1994

Expiration Date

05/31/1996

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006