License holder summary

SUZANNE DAVENPORT TIETJEN is a Nurse Registered & Licensed Practical - Rn Provisional licensed to practice in Michigan. The address on file for SUZANNE DAVENPORT TIETJEN is Peoria, IL 616079305. This licensed professional license is not current. The license was granted 05/12/2011 and expired on 05/12/2012.

Michigan

Department of Licensing and Regulation

SUZANNE DAVENPORT TIETJEN
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704284271
Date granted
05/12/2011
Date expires
05/12/2012
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Peoria, IL 616079305
michiganlicensing.org
ID 25841896
LAST UPDATED 2026-04-14 05:52:59 UTC

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