TABBITHA BRIE TIETJENS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041406344

License Status

INACTIVE

Business

First Name

TABBITHA

Middle

BRIE

Last Name

TIETJENS

Business Name

TABBITHA BRIE TIETJENS

Original Issue Date

10/03/2012

Effective Date

10/03/2012

Expiration Date

05/31/2014

City

PLEASANT HOPE

State

Zip

65725

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/06/2014