MOLLY JANE TIESENGA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041453453

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

JANE

Last Name

TIESENGA

Business Name

MOLLY JANE TIESENGA

Original Issue Date

06/14/2017

Effective Date

05/06/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60622

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/14/2022