Tracy Marie Dietz
ExpiredCalifornia license 623440
License
- Licensed by
- California Board of Registered Nursing
- License number
- 623440
- Status
- Expired (Delinquent)
- First issued
- August 6, 2003
- Expired
- August 31, 2007
- License holder
- Tracy Marie Dietz
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
7025 W. Main St.
Maryville, IL 62062
Maryville, IL 62062
Madison County