MARY JUDITH THEILKEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193181

License Status

INACTIVE

Business

First Name

MARY JUDITH

Last Name

THEILKEN

Business Name

MARY JUDITH THEILKEN

Original Issue Date

10/17/1979

Effective Date

05/17/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/06/2018