LISA R THILTGEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

THILTGEN

Business Name

LISA R THILTGEN

Original Issue Date

06/29/2021

Effective Date

06/29/2021

Expiration Date

08/31/2022

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

10/14/2022