C DIANE REYNOLDS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****50

License Status

ACTIVE

Business

First Name

Middle

DIANE

Last Name

REYNOLDS

Business Name

C DIANE REYNOLDS

Original Issue Date

06/03/2020

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

03/02/2026