ALLISON ANNE TELISZCZAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

ANNE

Last Name

TELISZCZAK

Business Name

ALLISON ANNE TELISZCZAK

Original Issue Date

11/03/2015

Effective Date

05/05/2020

Expiration Date

08/31/2022

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022