REGINA C THEIVAGT Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066540

License Status

ACTIVE

Business

First Name

REGINA C

Last Name

THEIVAGT

Business Name

REGINA C THEIVAGT

Original Issue Date

12/27/1988

Effective Date

12/30/2024

Expiration Date

01/31/2027

City

GREENFIELD

State

Zip

62044

County

GREENE

Ever Disciplined

LastModifiedDate

12/30/2024