THERESA M DETERS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

DETERS

Business Name

THERESA M DETERS

Original Issue Date

10/06/2011

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026