CONNIE S SIETSEMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041249745

License Status

NOT RENEWED

Business

First Name

CONNIE S

Last Name

SIETSEMA

Business Name

CONNIE S SIETSEMA

Original Issue Date

10/02/1988

Effective Date

05/27/2014

Expiration Date

05/31/2016

City

MAGNOLIA

State

Zip

42757

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/11/2016