Diane R Blaine
InactiveIllinois license 041189519
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041189519
- Status
- Inactive
- First issued
- October 17, 1979
- Expired
- May 31, 2014
- License holder
- Diane R Blaine
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/07/2012
Contact
Downers Grove, IL 60516
Dupage County