PHYLLIS K DIETZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041090700

License Status

INACTIVE

Business

First Name

PHYLLIS K

Last Name

DIETZ

Business Name

PHYLLIS K DIETZ

Original Issue Date

09/03/1958

Effective Date

09/03/1958

Expiration Date

05/31/1998

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006