DIANE L RUSSO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041223953

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

RUSSO

Business Name

DIANE L RUSSO

Original Issue Date

09/28/1984

Effective Date

03/21/2018

Expiration Date

09/30/2020

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021