GERALDINE WILLIAMS THEOBALD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193105

License Status

NOT RENEWED

Business

First Name

GERALDINE

Middle

WILLIAMS

Last Name

THEOBALD

Business Name

GERALDINE WILLIAMS THEOBALD

Original Issue Date

10/17/1979

Effective Date

04/26/2012

Expiration Date

05/31/2014

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/03/2014