TRACY A DIEFENBACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073209

License Status

NOT RENEWED

Business

First Name

TRACY A

Last Name

DIEFENBACH

Business Name

TRACY A DIEFENBACH

Original Issue Date

01/27/1993

Effective Date

01/22/2019

Expiration Date

01/31/2021

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/11/2021