AMY DIANE COOK MRS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043124473

License Status

INACTIVE

Business

First Name

AMY

Middle

DIANE

Last Name

COOK

Suffix

MRS

Business Name

AMY DIANE COOK MRS

Original Issue Date

08/31/2017

Effective Date

08/31/2017

Expiration Date

01/31/2019

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/14/2018