TARA ROCHELLE KRISTIANSEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025406

License Status

ACTIVE

Business

First Name

TARA

Middle

ROCHELLE

Last Name

KRISTIANSEN

Business Name

TARA ROCHELLE KRISTIANSEN

Original Issue Date

06/28/2022

Effective Date

03/30/2024

Expiration Date

05/31/2026

City

OSWERGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

03/02/2026