THEO J BARTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270162

License Status

NOT RENEWED

Business

First Name

THEO J

Last Name

BARTA

Business Name

THEO J BARTA

Original Issue Date

09/29/1992

Effective Date

05/07/2014

Expiration Date

05/31/2016

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/11/2016