LOGAN L DISTASIO Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041566256

License Status

ACTIVE

Business

First Name

LOGAN

Middle

Last Name

DISTASIO

Business Name

LOGAN L DISTASIO

Original Issue Date

06/05/2024

Effective Date

06/05/2024

Expiration Date

05/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/01/2026