DIANE SMITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

SMITH

Business Name

DIANE SMITH

Original Issue Date

01/17/2003

Effective Date

01/17/2003

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006