RHONDA JENNIFER TIESZEN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000931

License Status

INACTIVE

Business

First Name

RHONDA

Middle

JENNIFER

Last Name

TIESZEN

Business Name

RHONDA JENNIFER TIESZEN

Original Issue Date

08/06/1997

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2009