DESIRAE N THIELE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110523

License Status

NOT RENEWED

Business

First Name

DESIRAE

Middle

Last Name

THIELE

Business Name

DESIRAE N THIELE

Original Issue Date

07/01/2010

Effective Date

12/08/2016

Expiration Date

01/31/2019

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

03/28/2019