GREGG M LIEDTKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041163168

License Status

INACTIVE

Business

First Name

GREGG M

Last Name

LIEDTKE

Business Name

GREGG M LIEDTKE

Original Issue Date

10/24/1975

Effective Date

10/24/1975

Expiration Date

05/31/1988

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006