PEG M DIETERICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046052

License Status

NOT RENEWED

Business

First Name

PEG M

Last Name

DIETERICH

Business Name

PEG M DIETERICH

Original Issue Date

01/26/1979

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/21/2005