Theresa Sup
InactiveIllinois license 041201653
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041201653
- Status
- Inactive
- First issued
- May 19, 1981
- Expired
- May 31, 1992
- License holder
- Theresa Sup
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/19/1981
Contact
Ewa Beach, HI 96706