BONITA G DIETRICH - Advanced Practice Nurse License in Illinois | # 209000680

BONITA G DIETRICH

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000680

License Status

INACTIVE

Business

N

First Name

BONITA

Middle

G

Last Name

DIETRICH

Business Name

BONITA G DIETRICH

Original Issue Date

06/08/2001

Effective Date

03/16/2020

Expiration Date

08/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

06/15/2022