MARGARET E DITTMAR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

NOT RENEWED

Business

First Name

MARGARET

Middle

Last Name

DITTMAR

Business Name

MARGARET E DITTMAR

Original Issue Date

05/10/2006

Effective Date

04/28/2020

Expiration Date

08/31/2022

City

GALENA

State

Zip

61036

County

JO DAVIESS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022