DIANE K MARTIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005268

License Status

NOT RENEWED

Business

First Name

DIANE K

Last Name

MARTIN

Business Name

DIANE K MARTIN

Original Issue Date

09/01/2004

Effective Date

04/15/2014

Expiration Date

05/31/2016

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/11/2016