Mavis A N Theien
InactiveIllinois license 041045936
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041045936
- Status
- Inactive
- First issued
- January 28, 1943
- Expired
- May 31, 1984
- License holder
- Mavis A N Theien
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 01/28/1943
Contact
Rockford, IL 61107
Winnebago County