THEODORE ROBERT HAVENGA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108988

License Status

ACTIVE

Business

First Name

THEODORE

Middle

ROBERT

Last Name

HAVENGA

Business Name

THEODORE ROBERT HAVENGA

Original Issue Date

09/28/2009

Effective Date

01/16/2025

Expiration Date

01/31/2027

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/16/2025