JUCY TIESENGA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

JUCY

Last Name

TIESENGA

Business Name

JUCY TIESENGA

Original Issue Date

12/01/2011

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026