JUDITH ANN DIETZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017197

License Status

INACTIVE

Business

First Name

JUDITH ANN

Last Name

DIETZ

Business Name

JUDITH ANN DIETZ

Original Issue Date

12/19/1966

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005