Department of Financial and Professional Regulation
Board of Nursing
THEOTIS BRANCH
Licensed Practical Nurse
License number
043025132
Date granted
07/07/1969
Date expires
01/31/1987
Class
Licensed Practical Nurse
Status
Inactive
Address
ATHENS, AL 35611
illinoisnursing.org
ID 24614211
LAST UPDATED 2024-02-17 21:07:31 UTC
LAST UPDATED 2024-02-17 21:07:31 UTC
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