KATRINA JANE THEDOS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005591

License Status

INACTIVE

Business

First Name

KATRINA

Middle

JANE

Last Name

THEDOS

Business Name

KATRINA JANE THEDOS

Original Issue Date

06/24/2005

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

03/05/2010