LISA M TUETKIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084170

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

TUETKIN

Business Name

LISA M TUETKIN

Original Issue Date

10/15/1999

Effective Date

12/03/2004

Expiration Date

01/31/2005

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/15/2005