DONNA J THEILEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048814

License Status

NOT RENEWED

Business

First Name

DONNA J

Last Name

THEILEN

Business Name

DONNA J THEILEN

Original Issue Date

01/07/1980

Expiration Date

05/01/1982

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005