NATHALIE KAE DIETHRICH - Advanced Practice Nurse License in Illinois | # 209014716

NATHALIE KAE DIETHRICH

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014716

License Status

INACTIVE

Business

N

First Name

NATHALIE

Middle

KAE

Last Name

DIETHRICH

Business Name

NATHALIE KAE DIETHRICH

Original Issue Date

08/17/2016

Effective Date

04/21/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

04/21/2020