ANNE M DIETZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034003

License Status

INACTIVE

Business

First Name

ANNE M

Last Name

DIETZ

Business Name

ANNE M DIETZ

Original Issue Date

02/22/1974

Expiration Date

05/01/1982

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/21/2005