SUZANNE DAVENPORT TIETJEN
Nurse Registered & Licensed Practical - Rn Provisional
Michigan 4704284271 Voided
This Michigan license was held by SUZANNE DAVENPORT TIETJEN. The license is no longer active. It was granted on 05/12/2011 and expired on 05/12/2012
LICENSE DETAILS
- License Number: 4704284271
- Category: RN - Provisional
- Status: Voided
- Date Granted: 05/12/2011 (about 13 years ago)
- Expiry Date: 05/12/2012 (about 12 years ago)
LOCATIONS
A Address
Peoria, IL 616079305