MARIE B DIERKING Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041101293

License Status

INACTIVE

Business

First Name

MARIE B

Last Name

DIERKING

Business Name

MARIE B DIERKING

Original Issue Date

12/27/1961

Effective Date

12/27/1961

Expiration Date

05/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006