MARY JO KIETZMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041101487

License Status

INACTIVE

Business

First Name

MARY JO

Last Name

KIETZMAN

Business Name

MARY JO KIETZMAN

Original Issue Date

12/27/1961

Effective Date

12/27/1961

City

EDMOND

State

Zip

73034

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/27/2006