THERESA J LARA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340654

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

LARA

Business Name

THERESA J LARA

Original Issue Date

07/01/2004

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/28/2026