SUZANNE DIEDERICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071416

License Status

NOT RENEWED

Business

First Name

SUZANNE

Last Name

DIEDERICK

Business Name

SUZANNE DIEDERICK

Original Issue Date

02/11/1992

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

HORSESHOE

State

Zip

28742

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/15/2005