CAROLE J DIESEM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012770

License Status

NOT RENEWED

Business

First Name

CAROLE J

Last Name

DIESEM

Business Name

CAROLE J DIESEM

Original Issue Date

12/17/1964

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005