MICHELL THERESE THEOBALD RN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041372764

License Status

NOT RENEWED

Business

Title

First Name

MICHELL

Middle

THERESE

Last Name

THEOBALD

Business Name

MICHELL THERESE THEOBALD RN

Original Issue Date

11/06/2008

Effective Date

04/26/2010

Expiration Date

05/31/2012

City

BEAVER

State

Zip

15009

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

07/10/2012