TIESHA R PANEK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

TIESHA

Middle

Last Name

PANEK

Business Name

TIESHA R PANEK

Original Issue Date

06/02/2023

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026