DIANA K SOUTHASY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041574366

License Status

ACTIVE

Business

First Name

DIANA

Middle

Last Name

SOUTHASY

Business Name

DIANA K SOUTHASY

Original Issue Date

10/01/2024

Effective Date

10/01/2024

Expiration Date

05/31/2026

City

GLEN ELLYN

State

Zip

60137

Ever Disciplined

LastModifiedDate

03/01/2026