MOLLY JANE TIESENGA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018752

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

JANE

Last Name

TIESENGA

Business Name

MOLLY JANE TIESENGA

Original Issue Date

01/28/2019

Effective Date

05/06/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60622

Ever Disciplined

LastModifiedDate

10/14/2022