DIANE MARIE GLICK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

GLICK

Business Name

DIANE MARIE GLICK

Original Issue Date

11/14/2014

Effective Date

11/14/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016