DIANE L DESTEFANO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****27

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

GRAYVILLE

State

Zip

62844

County

EDWARDS

Ever Disciplined

LastModifiedDate

03/02/2026