SHARLOT MARIE TIETJEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079571

License Status

NOT RENEWED

Business

First Name

SHARLOT MARIE

Last Name

TIETJEN

Business Name

SHARLOT MARIE TIETJEN

Original Issue Date

09/04/1996

Effective Date

01/03/2005

Expiration Date

01/31/2007

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/16/2007