JILLIAN V DIETZ Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

INOPERATIVE

Business

First Name

JILLIAN

Middle

Last Name

DIETZ

Business Name

JILLIAN V DIETZ

Original Issue Date

12/22/2011

Effective Date

05/12/2016

Expiration Date

05/31/2018

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

03/01/2018