Kristy M Tiede Registered Nurse
293 Basswood Dr, Middletown, CT 064572054


Kristy M Tiede is licensed in the eLicensing system of Connecticut. The license credential ID is 1033146. The license type is Registered Nurse. The license status is ACTIVE. The address is 293 Basswood Dr, Middletown, CT 064572054. The zip code is 06457.


Kristy M Tiede · 293 Basswood Dr, Middletown, CT 064572054

Credential ID 1033146
Name KRISTY M TIEDE
Type INDIVIDUAL
Address 293 BASSWOOD DR
MIDDLETOWN, CT 064572054
License Credential Registered Nurse
Full Credential Code 10.102738
Credential Type 10
Credential Number 102738
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 10/17/2011
Effective Date 07/01/2016
Expiration Date 06/30/2017
Record Refresh Date 07/01/201

Zip 06457 · Registered Nurse · Connecticut Business

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