SUSAN D DIETMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041204179

License Status

INACTIVE

Business

First Name

SUSAN D

Last Name

DIETMAN

Business Name

SUSAN D DIETMAN

Original Issue Date

10/08/1981

Effective Date

05/21/2012

Expiration Date

05/31/2014

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

03/06/2014