DIANE GAULT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041147536

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

GAULT

Business Name

DIANE GAULT

Original Issue Date

12/14/1972

Effective Date

09/29/2020

Expiration Date

08/31/2022

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022