ALEXANDRIA P VICENCIO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028650

License Status

ACTIVE

Business

First Name

ALEXANDRIA

Middle

Last Name

VICENCIO

Business Name

ALEXANDRIA P VICENCIO

Original Issue Date

11/02/2023

Effective Date

03/26/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/26/2026