DIANA S MEDVED Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

DIANA

Middle

Last Name

MEDVED

Business Name

DIANA S MEDVED

Original Issue Date

09/08/2015

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026