LESLIE J DIETRICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180190

License Status

INACTIVE

Business

First Name

LESLIE J

Last Name

DIETRICH

Business Name

LESLIE J DIETRICH

Original Issue Date

05/08/1978

Effective Date

05/12/2022

Expiration Date

06/30/2024

City

ST ANNE

State

Zip

60964

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/01/2024