DIANE L MALYCHA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070867

License Status

INACTIVE

Business

First Name

DIANE

Middle

Last Name

MALYCHA

Business Name

DIANE L MALYCHA

Original Issue Date

01/16/1992

Effective Date

06/26/2007

Expiration Date

01/31/2009

City

MINOCQUA

State

Zip

54548

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/10/2008