DIANE K MARTIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

NOT RENEWED

Business

First Name

DIANE K

Last Name

MARTIN

Business Name

DIANE K MARTIN

Original Issue Date

08/26/2008

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012