DIANE SMITH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

INACTIVE

Business

First Name

DIANE

Last Name

SMITH

Business Name

DIANE SMITH

Original Issue Date

05/04/2001

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2025