DIANE MARIE SHALLCROSS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

INACTIVE

Business

First Name

DIANE

Middle

MARIE

Last Name

SHALLCROSS

Business Name

DIANE MARIE SHALLCROSS

Original Issue Date

03/16/2022

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2024