TRACEY L TIEDEMANN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085720

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

TIEDEMANN

Business Name

TRACEY L TIEDEMANN

Original Issue Date

12/08/2000

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

KIRKSVILLE

State

Zip

63501

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/15/2005