JORGE MICHAEL BASCONCILLO AGCAOILI IV - Registered Nurse License in Illinois | # 041368234

JORGE MICHAEL BASCONCILLO AGCAOILI IV

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041368234

License Status

NOT RENEWED

Business

N

First Name

JORGE

Middle

MICHAEL

Last Name

BASCONCILLO AGCAOILI

Suffix

IV

Business Name

JORGE MICHAEL BASCONCILLO AGCAOILI IV

Original Issue Date

06/19/2008

Effective Date

05/28/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012