DIANE L DESTEFANO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009671

License Status

INACTIVE

Business

First Name

DIANE

Middle

Last Name

DESTEFANO

Business Name

DIANE L DESTEFANO

Original Issue Date

07/26/2012

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

03/29/2018