DIANE K ZIMMER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

ZIMMER

Business Name

DIANE K ZIMMER

Original Issue Date

02/02/2009

Effective Date

03/22/2018

Expiration Date

09/30/2020

City

ALSIP

State

Zip

60803

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/17/2021