DIANE J BLAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041118019

License Status

NOT RENEWED

Business

First Name

DIANE J

Last Name

BLAKE

Business Name

DIANE J BLAKE

Original Issue Date

01/01/1997

Effective Date

03/30/2016

Expiration Date

05/31/2018

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

07/19/2018