THERESA M HAVALAD 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

HAVALAD

Business Name

THERESA M HAVALAD

Original Issue Date

08/19/2013

Effective Date

03/07/2026

Expiration Date

05/31/2028

City

EAGAN

State

Zip

55123

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/07/2026