DIANNE C CROUCH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041142122

License Status

INACTIVE

Business

First Name

DIANNE C

Last Name

CROUCH

Business Name

DIANNE C CROUCH

Original Issue Date

11/23/1971

Effective Date

04/06/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014