DIANA LEA ODIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041319551

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

LEA

Last Name

ODIN

Business Name

DIANA LEA ODIN

Original Issue Date

05/16/2000

Effective Date

02/03/2021

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2022