License holder summary

Black, Diane M is a Licensed Practical Nurse licensed to practice in Wisconsin. This nurse license is not current. The license was granted 06/06/1990 and expired on 04/30/2003.

Wisconsin

Department of Safety and Professional Services

Black, Diane M
Licensed Practical Nurse
License number
30281-31
Date granted
06/06/1990
Date expires
04/30/2003
Class
Licensed Practical Nurse
Status
Surrendered
nursingwisconsin.org
ID 13136186
LAST UPDATED 2024-04-22 15:34:25 UTC

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