DIANA L MCCOY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004872

License Status

INACTIVE

Business

First Name

DIANA

Middle

Last Name

MCCOY

Business Name

DIANA L MCCOY

Original Issue Date

10/29/2003

Effective Date

03/22/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2014