C DIANE REYNOLDS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

INACTIVE

Business

First Name

Middle

DIANE

Last Name

REYNOLDS

Business Name

C DIANE REYNOLDS

Original Issue Date

12/08/2010

Effective Date

03/22/2018

Expiration Date

09/30/2020

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/18/2020