DIANE M WALLENIUS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041252230

License Status

INACTIVE

Business

First Name

DIANE M

Last Name

WALLENIUS

Business Name

DIANE M WALLENIUS

Original Issue Date

04/18/1989

Effective Date

05/16/2012

Expiration Date

05/31/2014

City

LA PORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

03/06/2014