TANYA S THEOBALD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041432177

License Status

ACTIVE

Business

First Name

TANYA

Middle

Last Name

THEOBALD

Business Name

TANYA S THEOBALD

Original Issue Date

07/14/2015

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/28/2026