HELENE M TIETJEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065369

License Status

NOT RENEWED

Business

First Name

HELENE M

Last Name

TIETJEN

Business Name

HELENE M TIETJEN

Original Issue Date

12/15/1987

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/15/2005