DIANA L SWANSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

DIANA L

Last Name

SWANSON

Business Name

DIANA L SWANSON

Original Issue Date

06/21/2022

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026