THEA LIANE GOEBEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

ACTIVE

Business

First Name

THEA

Middle

LIANE

Last Name

GOEBEL

Business Name

THEA LIANE GOEBEL

Original Issue Date

11/04/2021

Effective Date

04/20/2024

Expiration Date

05/31/2026

City

RAYMOND

State

Zip

62560

County

MONTGOMERY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026