DIANA L MCCOY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

MCCOY

Business Name

DIANA L MCCOY

Original Issue Date

12/13/2004

Effective Date

03/22/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2014