DIANNE REILLY MODLESKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

DIANNE REILLY

Last Name

MODLESKI

Business Name

DIANNE REILLY MODLESKI

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

05/31/2008

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/11/2008