DIANE L STACE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006052

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

STACE

Business Name

DIANE L STACE

Original Issue Date

05/17/2006

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

TREVOR

State

Zip

53179

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/08/2020