HOLLY M THEIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041361148

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

THEIS

Business Name

HOLLY M THEIS

Original Issue Date

07/18/2007

Effective Date

06/10/2020

Expiration Date

08/31/2022

City

MEDINA

State

Zip

38355

County

DEKALB

Ever Disciplined

LastModifiedDate

10/14/2022