BONITA G DIETRICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248649

License Status

INACTIVE

Business

First Name

BONITA

Middle

Last Name

DIETRICH

Business Name

BONITA G DIETRICH

Original Issue Date

09/27/1988

Effective Date

03/16/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

06/04/2022