OCTAVIA M DIAZ Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144695

License Status

ACTIVE

Business

First Name

OCTAVIA M

Last Name

DIAZ

Business Name

OCTAVIA M DIAZ

Original Issue Date

09/29/1972

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/01/2026