DIANE LANISE SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088589

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

LANISE

Last Name

SMITH

Business Name

DIANE LANISE SMITH

Original Issue Date

07/14/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

UNIVERSITY PARK

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005