CAROL E DITTAMBL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041083747

License Status

NOT RENEWED

Business

First Name

CAROL E

Last Name

DITTAMBL

Business Name

CAROL E DITTAMBL

Original Issue Date

04/02/1956

Effective Date

04/02/1956

Expiration Date

05/31/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006