MATHILDE TENGUE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

INOPERATIVE

Business

First Name

MATHILDE

Last Name

TENGUE

Business Name

MATHILDE TENGUE

Original Issue Date

10/15/2024

Effective Date

10/15/2024

Expiration Date

05/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/02/2026