JILLIAN V DIETZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009223

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

Last Name

DIETZ

Business Name

JILLIAN V DIETZ

Original Issue Date

11/07/2011

Effective Date

04/15/2016

Expiration Date

05/31/2018

City

SAINT JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

12/01/2025