TINA R THEIEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076594

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

THEIEN

Business Name

TINA R THEIEN

Original Issue Date

11/03/1994

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005