THERON E ROSS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012165

License Status

ACTIVE

Business

First Name

THERON

Middle

Last Name

ROSS

Business Name

THERON E ROSS

Original Issue Date

11/05/2014

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

03/03/2026