THERESA L KAUTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

KAUTH

Business Name

THERESA L KAUTH

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

05/31/2016

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/11/2016