SUZANNE D TIETJEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041261586

License Status

NOT RENEWED

Business

First Name

SUZANNE D

Last Name

TIETJEN

Business Name

SUZANNE D TIETJEN

Original Issue Date

03/22/1991

Effective Date

05/05/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012