KATHLEEN M DIETZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089785

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

DIETZ

Business Name

KATHLEEN M DIETZ

Original Issue Date

05/24/2004

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

10/21/2005