MELISSA M THEOBALD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041362793

License Status

ACTIVE

Business

First Name

MELISSA

Middle

Last Name

THEOBALD

Business Name

MELISSA M THEOBALD

Original Issue Date

08/23/2007

Effective Date

03/14/2024

Expiration Date

05/31/2026

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

02/28/2026