DIANE L BRISTOL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006337

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

BRISTOL

Business Name

DIANE L BRISTOL

Original Issue Date

11/22/2006

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

SOMONAUK

State

Zip

60552

County

DEKALB

Ever Disciplined

LastModifiedDate

07/06/2025