SUZANNE D TIETJEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002853

License Status

NOT RENEWED

Business

First Name

SUZANNE D

Last Name

TIETJEN

Business Name

SUZANNE D TIETJEN

Original Issue Date

07/11/2001

Effective Date

05/05/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012