TAMBI J KIETA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041347573

License Status

NOT RENEWED

Business

First Name

TAMBI

Middle

Last Name

KIETA

Business Name

TAMBI J KIETA

Original Issue Date

08/10/2005

Effective Date

04/28/2014

Expiration Date

05/31/2016

City

SAINT JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2016