DIANE R BLAINE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189519

License Status

INACTIVE

Business

First Name

DIANE

Middle

Last Name

BLAINE

Business Name

DIANE R BLAINE

Original Issue Date

10/17/1979

Effective Date

05/07/2012

Expiration Date

05/31/2014

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/06/2014