TARA ROCHELLE KRISTIANSEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

TARA

Middle

ROCHELLE

Last Name

KRISTIANSEN

Business Name

TARA ROCHELLE KRISTIANSEN

Original Issue Date

08/26/2022

Effective Date

03/30/2024

Expiration Date

05/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/19/2026