DIANE T CROUCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041367322

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

CROUCH

Business Name

DIANE T CROUCH

Original Issue Date

04/09/2008

Effective Date

05/05/2016

Expiration Date

05/31/2018

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/19/2018