JILL A DIZACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041246159

License Status

NOT RENEWED

Business

First Name

JILL A

Last Name

DIZACK

Business Name

JILL A DIZACK

Original Issue Date

11/26/1987

Effective Date

11/26/1987

Expiration Date

05/31/1994

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

09/27/2006