DEBORAH TIETJEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012874

License Status

NOT RENEWED

Business

First Name

DEBORAH

Last Name

TIETJEN

Business Name

DEBORAH TIETJEN

Original Issue Date

06/15/2015

Effective Date

03/22/2016

Expiration Date

05/31/2018

City

GREENFIELD

State

Zip

53228

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/19/2018