DIANE F FORREST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041200251

License Status

NOT RENEWED

Business

First Name

DIANE F

Last Name

FORREST

Business Name

DIANE F FORREST

Original Issue Date

11/17/1980

Effective Date

09/01/2022

Expiration Date

06/30/2024

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/05/2025