C DIANE REYNOLDS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008463

License Status

INACTIVE

Business

First Name

Middle

DIANE

Last Name

REYNOLDS

Business Name

C DIANE REYNOLDS

Original Issue Date

11/05/2010

Effective Date

03/21/2018

Expiration Date

09/30/2020

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2020