PHILLIP A DIETRICH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041349623

License Status

ACTIVE

Business

First Name

PHILLIP

Middle

Last Name

DIETRICH

Business Name

PHILLIP A DIETRICH

Original Issue Date

10/17/2005

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

CALEDONIA

State

Zip

61011

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/03/2026