BRENDA E SEIBOLD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005232

License Status

NOT RENEWED

Business

First Name

BRENDA E

Last Name

SEIBOLD

Business Name

BRENDA E SEIBOLD

Original Issue Date

08/10/2004

Effective Date

06/05/2014

Expiration Date

05/31/2016

City

CLINTON

State

Zip

47842

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2016