MARTHA MAYSE DIETEMAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041222953

License Status

ACTIVE

Business

First Name

MARTHA

Middle

MAYSE

Last Name

DIETEMAN

Business Name

MARTHA MAYSE DIETEMAN

Original Issue Date

06/01/1984

Effective Date

06/13/2024

Expiration Date

05/31/2026

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

03/01/2026