DIANE M LIETZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277001888

License Status

ACTIVE

Business

First Name

DIANE M

Last Name

LIETZ

Business Name

DIANE M LIETZ

Original Issue Date

04/06/2022

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026