DIANE L DUNNIWAY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

ACTIVE

Business

First Name

DIANE L

Last Name

DUNNIWAY

Business Name

DIANE L DUNNIWAY

Original Issue Date

12/16/2002

Effective Date

03/15/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2026