MARILEE J THEOBALD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027566

License Status

INACTIVE

Business

First Name

MARILEE J

Last Name

THEOBALD

Business Name

MARILEE J THEOBALD

Original Issue Date

01/25/1971

Expiration Date

01/31/1989

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/21/2005