THEODORA J ANDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017321

License Status

NOT RENEWED

Business

First Name

THEODORA J

Last Name

ANDERSON

Business Name

THEODORA J ANDERSON

Original Issue Date

12/19/1966

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005