DIANE D STALLSWORTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043067668

License Status

NOT RENEWED

Business

First Name

DIANE D

Last Name

STALLSWORTH

Business Name

DIANE D STALLSWORTH

Original Issue Date

01/03/1990

Expiration Date

01/31/1991

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/21/2005