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*****63

License Status

INACTIVE

Business

First Name

KYLEA

Middle

LAINA

Last Name

LIESE

Business Name

KYLEA LAINA LIESE

Original Issue Date

06/20/2019

Effective Date

06/20/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2020