ALLECIA LYNN THIBEAULT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013081

License Status

NOT RENEWED

Business

First Name

ALLECIA

Middle

LYNN

Last Name

THIBEAULT

Business Name

ALLECIA LYNN THIBEAULT

Original Issue Date

08/12/2015

Effective Date

04/26/2018

Expiration Date

09/30/2020

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021