DIANE R GRAYBILL KEHOE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

ACTIVE

Business

First Name

DIANE

Middle

Last Name

GRAYBILL KEHOE

Business Name

DIANE R GRAYBILL KEHOE

Original Issue Date

08/06/2002

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

FREEPORT

State

Zip

61032

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026