BONITA G DIETRICH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000680

License Status

INACTIVE

Business

First Name

BONITA

Middle

Last Name

DIETRICH

Business Name

BONITA G DIETRICH

Original Issue Date

06/08/2001

Effective Date

03/16/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

06/15/2022