NICOLE H THERIEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

THERIEN

Business Name

NICOLE H THERIEN

Original Issue Date

03/30/2020

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026