TIESHA R PANEK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026792

License Status

ACTIVE

Business

First Name

TIESHA

Middle

Last Name

PANEK

Business Name

TIESHA R PANEK

Original Issue Date

02/08/2023

Effective Date

03/19/2026

Expiration Date

05/31/2028

City

WONDER LAKE

State

Zip

60097

Ever Disciplined

LastModifiedDate

03/19/2026