MARY ANNE THEOBALD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175004

License Status

NOT RENEWED

Business

First Name

MARY ANNE

Last Name

THEOBALD

Business Name

MARY ANNE THEOBALD

Original Issue Date

10/12/1977

Effective Date

03/20/2014

Expiration Date

05/31/2016

City

SHOREWOOD

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

07/11/2016