DIANNE MARIA ENDRESS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

INACTIVE

Business

First Name

DIANNE MARIA

Last Name

ENDRESS

Business Name

DIANNE MARIA ENDRESS

Original Issue Date

08/04/2014

Effective Date

06/17/2022

Expiration Date

06/30/2024

City

TREMONT

State

Zip

61568

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024