HAZEL LEIPOLD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020237

License Status

INACTIVE

Business

First Name

HAZEL

Last Name

LEIPOLD

Business Name

HAZEL LEIPOLD

Original Issue Date

06/28/1967

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/21/2005