ASHLEY K DIETSCH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

Last Name

DIETSCH

Business Name

ASHLEY K DIETSCH

Original Issue Date

09/15/2022

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

SILVIS

State

Zip

61241

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/02/2026