BETTY LOU THEOBALD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018170

License Status

NOT RENEWED

Business

First Name

BETTY LOU

Last Name

THEOBALD

Business Name

BETTY LOU THEOBALD

Original Issue Date

01/24/1967

Expiration Date

01/31/1987

City

LODA

State

Zip

60948

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/21/2005