The holder whose full name is DIENER, IDA MARIE,come from CANTON KS,hold the Registered Nurse license(NO.28051787A) which status is Expired.
| Name | DIENER, IDA MARIE |
|---|---|
| License Number | 28051787A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | CANTON |
| State | KS |