DOROTHY C TIETJEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102485

License Status

INACTIVE

Business

First Name

DOROTHY C

Last Name

TIETJEN

Business Name

DOROTHY C TIETJEN

Original Issue Date

04/02/1962

Effective Date

04/02/1962

Expiration Date

05/31/2004

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/09/2006