SUSAN J DIDERICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027661

License Status

NOT RENEWED

Business

First Name

SUSAN J

Last Name

DIDERICH

Business Name

SUSAN J DIDERICH

Original Issue Date

01/25/1971

Expiration Date

01/31/1991

City

SHARON

State

Zip

53585

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005