DIANE MARIE KELLEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018811

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

KELLEY

Business Name

DIANE MARIE KELLEY

Original Issue Date

02/08/2019

Effective Date

02/08/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

ADAMS

Ever Disciplined

LastModifiedDate

01/14/2021