LEIGHA DANIELLE DENNIS TIETJE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041405890

License Status

NOT RENEWED

Business

First Name

LEIGHA

Middle

DANIELLE DENNIS

Last Name

TIETJE

Business Name

LEIGHA DANIELLE DENNIS TIETJE

Original Issue Date

09/14/2012

Effective Date

04/07/2014

Expiration Date

05/31/2016

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016