KAIRSTEN A THIES Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

INACTIVE

Business

First Name

KAIRSTEN

Middle

Last Name

THIES

Business Name

KAIRSTEN A THIES

Original Issue Date

02/16/2019

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2025