DIANE L FALKSTROM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213387

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

FALKSTROM

Business Name

DIANE L FALKSTROM

Original Issue Date

11/04/1982

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

OGLE

Ever Disciplined

LastModifiedDate

03/08/2020