KACIE D ZIELSDORF Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

KACIE

Middle

Last Name

ZIELSDORF

Business Name

KACIE D ZIELSDORF

Original Issue Date

06/16/2023

Effective Date

04/14/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/02/2026