DIANE ELIZABETH WEIBELER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

ELIZABETH

Last Name

WEIBELER

Business Name

DIANE ELIZABETH WEIBELER

Original Issue Date

01/28/2019

Effective Date

04/13/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022