TARA M BALENSIEFEN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041184168

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

BALENSIEFEN

Business Name

TARA M BALENSIEFEN

Original Issue Date

10/16/1978

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

LASALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

02/28/2026