DIANA GRACE GREEN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041458410

License Status

ACTIVE

Business

First Name

DIANA

Middle

GRACE

Last Name

GREEN

Business Name

DIANA GRACE GREEN

Original Issue Date

09/20/2017

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

85382

Ever Disciplined

LastModifiedDate

02/28/2026