Mary Ellen Lieder

Name

Mary Ellen Lieder

Year of birth

1956

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Mary Ellen Lieder

Privacy Request

Additional Information

General: IND- LIC HC SERV PRO

Specialty: NURSE/NURSES AIDE

Medical license number: 1215941349

Address: 1693 MCCAUSLAND DRIVE, APT 10

City: HUDSON

State: OH

Zip code: 44236

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 2018-10-18


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