Rita Diane Herzog
InactiveIllinois license 041184956
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041184956
- Status
- Inactive
- First issued
- October 16, 1978
- Expired
- May 31, 1988
- License holder
- Rita Diane Herzog
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 10/16/1978
Contact
Waldorf, MD 20602
Maryland County