License holder summary

KIM L. THEBAULT is a Nursing - Registered Nurse licensed to practice in Maine. The address on file for KIM L. THEBAULT is 717 LAKE BLVD NE, BEMIDJI, MN 56601-3919. This nurse license is not current. The license was granted 08/31/1979 and expired on 03/31/2013.

Department of Professional and Financial Regulation

Board of Nursing

KIM L. THEBAULT
Nursing - Registered Nurse
License number
RN23071
Date granted
08/31/1979
Date expires
03/31/2013
Class
Nursing - Registered Nurse
Status
Failed to Renew
Address
717 LAKE BLVD NE, BEMIDJI, MN 56601-3919
nursingmaine.org
ID 21321067
LAST UPDATED 2024-02-07 15:20:45 UTC

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