SUSAN J DIDERICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041254368

License Status

INACTIVE

Business

First Name

SUSAN J

Last Name

DIDERICH

Business Name

SUSAN J DIDERICH

Original Issue Date

09/21/1989

Effective Date

09/21/1989

Expiration Date

05/31/2002

City

WALWORTH

State

Zip

53184

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006