RYAN F THEEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

RYAN

Middle

Last Name

THEEN

Business Name

RYAN F THEEN

Original Issue Date

05/11/2025

Effective Date

05/11/2025

Expiration Date

05/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026