BEVERLY M THEOBALD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041073775

License Status

NOT RENEWED

Business

First Name

BEVERLY M

Last Name

THEOBALD

Business Name

BEVERLY M THEOBALD

Original Issue Date

12/26/1952

Effective Date

12/26/1952

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/27/2006