DIANE M STIERWALT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

DIANE

Middle

Last Name

STIERWALT

Business Name

DIANE M STIERWALT

Original Issue Date

05/23/2023

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026