THERESA M DETERS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

DETERS

Business Name

THERESA M DETERS

Original Issue Date

08/26/2005

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

FORSYTH

State

Zip

62535

County

MACON

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/10/2024