ELLEN JEANETTE DIECKMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041152699

License Status

INACTIVE

Business

First Name

ELLEN JEANETTE

Last Name

DIECKMAN

Business Name

ELLEN JEANETTE DIECKMAN

Original Issue Date

12/14/1973

Effective Date

12/14/1973

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006