KRISTYN L THIELEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

NOT RENEWED

Business

First Name

KRISTYN

Middle

Last Name

THIELEN

Business Name

KRISTYN L THIELEN

Original Issue Date

12/18/2012

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

LA GRANGE

State

Zip

60525

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021