BREI M THEISEN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043128439

License Status

ACTIVE

Business

First Name

BREI

Middle

Last Name

THEISEN

Business Name

BREI M THEISEN

Original Issue Date

02/10/2020

Effective Date

01/26/2025

Expiration Date

01/31/2027

City

GRANITE CITY

State

Zip

62040

Ever Disciplined

LastModifiedDate

01/26/2025

Case Number

2024001132

Action

Suspension

Discipline Start Date

04/22/2024

Discipline End Date

05/02/2024

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 05/06/2024.