MAVIS A N THEIEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041045936

License Status

INACTIVE

Business

First Name

MAVIS A N

Last Name

THEIEN

Business Name

MAVIS A N THEIEN

Original Issue Date

01/28/1943

Effective Date

01/28/1943

Expiration Date

05/31/1984

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006