JAVIER ANTONIO CARRILLO - Registered Nurse License in Kentucky | # 043081981

JAVIER ANTONIO CARRILLO

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081981

License Status

NOT RENEWED

Business

N

First Name

JAVIER

Middle

ANTONIO

Last Name

CARRILLO

Business Name

JAVIER ANTONIO CARRILLO

Original Issue Date

01/28/1998

Effective Date

03/04/2003

Expiration Date

01/31/2003

State

KY

Ever Disciplined

N

LastModifiedDate

10/15/2005