MICAELA THEISEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026296

License Status

NOT RENEWED

Business

First Name

MICAELA

Last Name

THEISEN

Business Name

MICAELA THEISEN

Original Issue Date

10/29/2022

Effective Date

10/29/2022

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/05/2025