AMY JO DIEDERICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305753

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

DIEDERICH

Business Name

AMY JO DIEDERICH

Original Issue Date

09/10/1997

Effective Date

09/10/1997

Expiration Date

05/31/2004

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006