MARILYN THEOBALD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120828

License Status

NOT RENEWED

Business

First Name

MARILYN

Last Name

THEOBALD

Business Name

MARILYN THEOBALD

Original Issue Date

01/01/1997

Effective Date

03/21/2012

Expiration Date

05/31/2014

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014