DIANE D STALLSWORTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041258928

License Status

NOT RENEWED

Business

First Name

DIANE D

Last Name

STALLSWORTH

Business Name

DIANE D STALLSWORTH

Original Issue Date

09/29/1990

Effective Date

09/29/1990

Expiration Date

05/31/1992

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

09/27/2006