ANNETTE M LIETZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015100

License Status

NOT RENEWED

Business

First Name

ANNETTE M

Last Name

LIETZ

Business Name

ANNETTE M LIETZ

Original Issue Date

06/13/1966

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005