KYLE SHANE DIETHRICH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041545922

License Status

ACTIVE

Business

First Name

KYLE

Middle

SHANE

Last Name

DIETHRICH

Business Name

KYLE SHANE DIETHRICH

Original Issue Date

06/12/2023

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/01/2026