DIANE M LIETZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010294

License Status

INACTIVE

Business

First Name

DIANE M

Last Name

LIETZ

Business Name

DIANE M LIETZ

Original Issue Date

03/08/2013

Effective Date

04/28/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/28/2020