DIANE L MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303090

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

MARTIN

Business Name

DIANE L MARTIN

Original Issue Date

05/07/1997

Effective Date

05/07/1997

Expiration Date

05/31/2008

City

WALWORTH

State

Zip

53184

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2008