MARY K TIEMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015801

License Status

INACTIVE

Business

First Name

MARY K

Last Name

TIEMAN

Business Name

MARY K TIEMAN

Original Issue Date

09/02/1966

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/21/2005