THERESA C THEISEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043007495

License Status

INACTIVE

Business

First Name

THERESA C

Last Name

THEISEN

Business Name

THERESA C THEISEN

Original Issue Date

01/30/1957

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005