DAWN K DIERCKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063848

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

DIERCKS

Business Name

DAWN K DIERCKS

Original Issue Date

01/17/1987

Expiration Date

01/31/1999

City

PERCY

State

Zip

62272

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/27/2005