ANN M TIETZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019647

License Status

INACTIVE

Business

First Name

ANN M

Last Name

TIETZ

Business Name

ANN M TIETZ

Original Issue Date

06/06/1967

Effective Date

11/30/2004

Expiration Date

01/31/2007

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2006