KIM MICHELLE DITTIS - Registered Nurse License in Illinois | # 041200511

KIM MICHELLE DITTIS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041200511

License Status

NOT RENEWED

Business

N

First Name

KIM MICHELLE

Last Name

DITTIS

Business Name

KIM MICHELLE DITTIS

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006