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*****58

License Status

ACTIVE

Business

First Name

KACIE

Middle

Last Name

ZIELSDORF

Business Name

KACIE D ZIELSDORF

Original Issue Date

12/13/2024

Effective Date

12/13/2024

Expiration Date

05/31/2026

City

PONTIAC

State

Zip

61764

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026