CHRISTOPHER R DIETHERT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

Last Name

DIETHERT

Business Name

CHRISTOPHER R DIETHERT

Original Issue Date

07/02/2024

Effective Date

07/02/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026