TANYA S THEOBALD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107881

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

Last Name

THEOBALD

Business Name

TANYA S THEOBALD

Original Issue Date

04/14/2009

Effective Date

01/23/2015

Expiration Date

01/31/2017

City

LEWISTOWN

State

Zip

61542

Ever Disciplined

LastModifiedDate

03/27/2017