KYLEA LAINA LIESE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

INACTIVE

Business

First Name

KYLEA

Middle

LAINA

Last Name

LIESE

Business Name

KYLEA LAINA LIESE

Original Issue Date

08/14/2015

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020