DIANE KATHRYN BLAINE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041140851

License Status

NOT RENEWED

Business

First Name

DIANE KATHRYN

Last Name

BLAINE

Business Name

DIANE KATHRYN BLAINE

Original Issue Date

09/29/1971

Effective Date

05/29/2022

Expiration Date

06/30/2024

City

AMBOY

State

Zip

61310

County

LEE

Ever Disciplined

LastModifiedDate

02/05/2025