THERESIA M ANDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005217

License Status

ACTIVE

Business

First Name

THERESIA

Middle

Last Name

ANDERSON

Business Name

THERESIA M ANDERSON

Original Issue Date

07/30/2004

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

SAINT CHARLES

State

Zip

60174

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026