KARLA RAE DIECKOW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193047

License Status

NOT RENEWED

Business

First Name

KARLA RAE

Last Name

DIECKOW

Business Name

KARLA RAE DIECKOW

Original Issue Date

10/17/1979

Effective Date

05/16/2016

Expiration Date

05/31/2018

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

07/19/2018