DIANE L DESTEFANO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000130

License Status

ACTIVE

Business

First Name

DIANE

Middle

Last Name

DESTEFANO

Business Name

DIANE L DESTEFANO

Original Issue Date

09/23/2019

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

03/02/2026