DIANE K MARTIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

DIANE K

Last Name

MARTIN

Business Name

DIANE K MARTIN

Original Issue Date

05/15/2007

Effective Date

04/16/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016