KAREN J TIETJENS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111622

License Status

NOT RENEWED

Business

First Name

KAREN J

Last Name

TIETJENS

Business Name

KAREN J TIETJENS

Original Issue Date

11/25/1964

Effective Date

05/17/2010

Expiration Date

05/31/2012

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/10/2012