Diane L Hartzog
InactiveIllinois license 041216713
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041216713
- Status
- Inactive
- First issued
- July 18, 1983
- Expired
- May 31, 1986
- License holder
- Diane L Hartzog
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 07/18/1983
Contact
Pewaukee, WI 53072