DIANE MARIE KELLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041472608

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

KELLEY

Business Name

DIANE MARIE KELLEY

Original Issue Date

11/21/2018

Effective Date

11/21/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

ADAMS

Ever Disciplined

LastModifiedDate

01/14/2021