JACQUELYN DIETZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041084037

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Last Name

DIETZ

Business Name

JACQUELYN DIETZ

Original Issue Date

04/02/1956

Effective Date

04/02/1956

Expiration Date

05/31/1996

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006