CONNIE M ZIEBOLD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047616

License Status

NOT RENEWED

Business

First Name

CONNIE M

Last Name

ZIEBOLD

Business Name

CONNIE M ZIEBOLD

Original Issue Date

11/08/1979

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/15/2005