LESLIE WAYNE THIEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000578

License Status

INACTIVE

Business

First Name

LESLIE WAYNE

Last Name

THIEN

Business Name

LESLIE WAYNE THIEN

Original Issue Date

05/29/2001

Effective Date

04/04/2016

Expiration Date

05/31/2018

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

03/01/2018