KRISTINE RUNI TIERNEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

RUNI

Last Name

TIERNEY

Business Name

KRISTINE RUNI TIERNEY

Original Issue Date

04/19/2023

Effective Date

04/19/2023

Expiration Date

06/30/2024

City

DEKALB

State

Zip

60115

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025