KIMBERLY A JEZEK-TISCH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001895

License Status

INACTIVE

Business

First Name

KIMBERLY A

Last Name

JEZEK-TISCH

Business Name

KIMBERLY A JEZEK-TISCH

Original Issue Date

06/28/2001

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

03/08/2020