AZALEA VICENTENO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015196

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2026