PAMELA LILLICO DIETZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041336593

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

LILLICO

Last Name

DIETZ

Business Name

PAMELA LILLICO DIETZ

Original Issue Date

08/08/2003

Effective Date

08/08/2003

Expiration Date

05/31/2008

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

05/16/2008

Case Number

2006002656

Action

Suspension

Discipline Start Date

05/16/2008

Discipline Reason

Diversion of Vicodin and altering a prescription.