Registered Nurse
LICENSED PRACTICAL NURSE
043039365
ACTIVE
N
THERESA
PREWITT-TAYLOR
THERESA PREWITT-TAYLOR
06/11/1976
01/08/2025
01/31/2027
LA GRANGE
MO
63448
Y
01/08/2025
1992005347
Probation
05/12/1993
05/11/1994
Submitted a non-bankable remittance to the Department.