SUSAN MARY DIEDRICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047874

License Status

INACTIVE

Business

First Name

SUSAN MARY

Last Name

DIEDRICH

Business Name

SUSAN MARY DIEDRICH

Original Issue Date

01/07/1980

Expiration Date

05/01/1982

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

10/21/2005