THERESA A LARSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029761

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

LARSON

Business Name

THERESA A LARSON

Original Issue Date

05/24/2024

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

03/02/2026