SANDRA L DONALDSON THEOBALD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108488

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

DONALDSON THEOBALD

Business Name

SANDRA L DONALDSON THEOBALD

Original Issue Date

12/06/1963

Effective Date

04/21/2014

Expiration Date

05/31/2016

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/11/2016