The holder whose full name is WALLENIUS, DIANE M,come from La Porte IN,hold the Registered Nurse license(NO.28115079A) which status is Active.
| Name | WALLENIUS, DIANE M |
|---|---|
| License Number | 28115079A |
| License Type | Registered Nurse |
| License Status | Active |
| City | La Porte |
| State | IN |