DIANE L DESTEFANO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054886

License Status

INACTIVE

Business

First Name

DIANE

Middle

Last Name

DESTEFANO

Business Name

DIANE L DESTEFANO

Original Issue Date

09/23/1982

Expiration Date

01/31/1987

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/21/2005