ERICA LYNN THEIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

ERICA

Middle

LYNN

Last Name

THEIS

Business Name

ERICA LYNN THEIS

Original Issue Date

10/12/2016

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026