DIANE L SMITH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

SMITH

Business Name

DIANE L SMITH

Original Issue Date

07/27/2001

Effective Date

08/05/2020

Expiration Date

05/31/2022

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

08/05/2020