DIANA L BAHENA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

BAHENA

Business Name

DIANA L BAHENA

Original Issue Date

08/15/2013

Effective Date

08/15/2013

Expiration Date

05/31/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014