CAROL S DIETERMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043050116

License Status

NOT RENEWED

Business

First Name

CAROL S

Last Name

DIETERMAN

Business Name

CAROL S DIETERMAN

Original Issue Date

01/08/1981

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005