LESLIE MARIE THEISEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018394

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

MARIE

Last Name

THEISEN

Business Name

LESLIE MARIE THEISEN

Original Issue Date

10/19/2018

Effective Date

10/19/2018

Expiration Date

09/30/2020

City

ROCHESTER HILLS

State

Zip

48306

Ever Disciplined

LastModifiedDate

01/14/2021