MELISSA M THEOBALD - Advanced Practice Nurse License in Illinois | # 209030474

MELISSA M THEOBALD

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030474

License Status

ACTIVE

Business

N

First Name

MELISSA

Middle

M

Last Name

THEOBALD

Business Name

MELISSA M THEOBALD

Original Issue Date

09/06/2024

Effective Date

09/06/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026