DIANA LYN WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176073

License Status

ACTIVE

Business

First Name

DIANA LYN

Last Name

WALLACE

Business Name

DIANA LYN WALLACE

Original Issue Date

10/12/1977

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

02/28/2026