DIANE M ZUELKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

ZUELKE

Business Name

DIANE M ZUELKE

Original Issue Date

10/14/2010

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

MORRIS

State

Zip

60450

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021