MARY DIANE BERNHARDT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078966

License Status

NOT RENEWED

Business

First Name

MARY DIANE

Last Name

BERNHARDT

Business Name

MARY DIANE BERNHARDT

Original Issue Date

02/24/1996

Effective Date

11/17/2008

Expiration Date

01/31/2011

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/10/2011