AZALEA VICENTENO - Advanced Practice Nurse License in Illinois | # 209015196

AZALEA VICENTENO

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015196

License Status

INACTIVE

Business

N

First Name

AZALEA

Last Name

VICENTENO

Business Name

AZALEA VICENTENO

Original Issue Date

11/29/2016

Effective Date

04/23/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2026