DIANE MARIE ERTMOED Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175473

License Status

NOT RENEWED

Business

First Name

DIANE MARIE

Last Name

ERTMOED

Business Name

DIANE MARIE ERTMOED

Original Issue Date

10/12/1977

Effective Date

03/27/2020

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021