MARK BERNARD KIEZEL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041317705

License Status

INACTIVE

Business

First Name

MARK

Middle

BERNARD

Last Name

KIEZEL

Business Name

MARK BERNARD KIEZEL

Original Issue Date

12/03/1999

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/08/2020