THEA A MELLENTINE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041350002

License Status

ACTIVE

Business

First Name

THEA

Middle

Last Name

MELLENTINE

Business Name

THEA A MELLENTINE

Original Issue Date

11/09/2005

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Ever Disciplined

LastModifiedDate

02/28/2026