DIANA K EASTRIDGE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001401

License Status

NOT RENEWED

Business

First Name

DIANA K

Last Name

EASTRIDGE

Business Name

DIANA K EASTRIDGE

Original Issue Date

06/21/2001

Effective Date

03/24/2014

Expiration Date

05/31/2016

City

WAUNAKEE

State

Zip

53597

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016