DIANE M HAYCOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010025

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

HAYCOCK

Business Name

DIANE M HAYCOCK

Original Issue Date

09/21/1961

Effective Date

02/07/2019

Expiration Date

01/31/2021

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/11/2021