CAROLYN D DIETZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041086565

License Status

INACTIVE

Business

First Name

CAROLYN D

Last Name

DIETZ

Business Name

CAROLYN D DIETZ

Original Issue Date

12/26/1956

Effective Date

12/26/1956

Expiration Date

05/31/1996

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/27/2006