SHIRLEY C DITZLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108068

License Status

INACTIVE

Business

First Name

SHIRLEY C

Last Name

DITZLER

Business Name

SHIRLEY C DITZLER

Original Issue Date

11/13/1963

Effective Date

11/05/2012

Expiration Date

05/31/2014

City

DECATUR

State

Zip

62524

County

MACON

Ever Disciplined

LastModifiedDate

11/01/2012