DIANE MARIE BAJUS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

BAJUS

Business Name

DIANE MARIE BAJUS

Original Issue Date

01/02/2004

Effective Date

05/14/2010

Expiration Date

05/31/2012

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/10/2012