SOPHIA ELLEN DIZZIA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041178903

License Status

NOT RENEWED

Business

First Name

SOPHIA ELLEN

Last Name

DIZZIA

Business Name

SOPHIA ELLEN DIZZIA

Original Issue Date

01/10/1978

Effective Date

01/10/1978

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006