C DIANE REYNOLDS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000768

License Status

ACTIVE

Business

First Name

Middle

DIANE

Last Name

REYNOLDS

Business Name

C DIANE REYNOLDS

Original Issue Date

06/03/2020

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

03/02/2026