THERESA JANE DEBORD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

INACTIVE

Business

First Name

THERESA

Middle

JANE

Last Name

DEBORD

Business Name

THERESA JANE DEBORD

Original Issue Date

04/30/2019

Effective Date

06/14/2024

Expiration Date

05/31/2026

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

07/13/2025