DIANE STACKUS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041387

License Status

INACTIVE

Business

First Name

DIANE

Last Name

STACKUS

Business Name

DIANE STACKUS

Original Issue Date

02/02/1977

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/21/2005