LESLIE MARIE THEISEN - Advanced Practice Nurse License in Michigan | # 209018394

LESLIE MARIE THEISEN

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018394

License Status

NOT RENEWED

Business

N

First Name

LESLIE

Middle

MARIE

Last Name

THEISEN

Business Name

LESLIE MARIE THEISEN

Original Issue Date

10/19/2018

Effective Date

10/19/2018

Expiration Date

09/30/2020

State

MI

Ever Disciplined

N

LastModifiedDate

01/14/2021