MARY E DIETZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041110828

License Status

INACTIVE

Business

First Name

MARY E

Last Name

DIETZ

Business Name

MARY E DIETZ

Original Issue Date

10/01/1964

Effective Date

10/01/1964

Expiration Date

05/31/1988

City

LAKE OZARKS

State

Zip

65049

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006