MIRIAM R FIETSAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041078225

License Status

NOT RENEWED

Business

First Name

MIRIAM R

Last Name

FIETSAM

Business Name

MIRIAM R FIETSAM

Original Issue Date

06/01/1954

Effective Date

06/01/1954

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006