MARY K DIDERRICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041431929

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

DIDERRICH

Business Name

MARY K DIDERRICH

Original Issue Date

07/13/2015

Effective Date

04/25/2016

Expiration Date

05/31/2018

City

MUKWONAGO

State

Zip

53149

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/19/2018