MARY S DIETRICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041310173

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

DIETRICH

Business Name

MARY S DIETRICH

Original Issue Date

08/07/1998

Effective Date

04/18/2018

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021