LUCILLE E THEOBALD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041097824

License Status

INACTIVE

Business

First Name

LUCILLE E

Last Name

THEOBALD

Business Name

LUCILLE E THEOBALD

Original Issue Date

11/10/1960

Effective Date

11/10/1960

Expiration Date

05/31/2006

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006