DIANE WALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041187055

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

WALL

Business Name

DIANE WALL

Original Issue Date

03/09/1979

Effective Date

05/18/2020

Expiration Date

08/31/2022

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

10/14/2022