SHIRLEY J DIETZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026254

License Status

INACTIVE

Business

First Name

SHIRLEY J

Last Name

DIETZ

Business Name

SHIRLEY J DIETZ

Original Issue Date

02/02/1970

Effective Date

12/24/2008

Expiration Date

01/31/2011

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

11/03/2010