DIANA K EASTRIDGE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

NOT RENEWED

Business

First Name

DIANA K

Last Name

EASTRIDGE

Business Name

DIANA K EASTRIDGE

Original Issue Date

10/28/2002

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010