SUSAN LEE DIETZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165228

License Status

INACTIVE

Business

First Name

SUSAN LEE

Last Name

DIETZ

Business Name

SUSAN LEE DIETZ

Original Issue Date

11/14/1975

Effective Date

11/14/1975

Expiration Date

05/31/1984

City

LODI

State

Zip

53555

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006