CANDICE J VICENCIO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020086

License Status

ACTIVE

Business

First Name

CANDICE

Middle

Last Name

VICENCIO

Business Name

CANDICE J VICENCIO

Original Issue Date

09/20/2019

Effective Date

03/25/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026