JILL ELLEN SEIBOLD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146256

License Status

NOT RENEWED

Business

First Name

JILL ELLEN

Last Name

SEIBOLD

Business Name

JILL ELLEN SEIBOLD

Original Issue Date

11/03/1972

Effective Date

08/14/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/14/2022