Tara Marie Lien
Nursing at Telemark Cir, Green Bay, WI

License number
Colorado 7077
Issued Date
Jun 15, 2007
Renew Date
Jun 15, 2007
Expiration Date
Sep 30, 2009
Type
Compact Prescriptive Authority
Address
Address
1943 W Telemark Cir, Green Bay, WI 54313