ANNIE DEDIEGO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042586

License Status

NOT RENEWED

Business

First Name

ANNIE

Last Name

DEDIEGO

Business Name

ANNIE DEDIEGO

Original Issue Date

01/10/1978

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005