JULIE DOMINICK VICENCIO

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN

277001517

ACTIVE

N

JULIE

DOMINICK

VICENCIO

JULIE DOMINICK VICENCIO

08/17/2021

03/15/2026

05/31/2028

ELGIN

IL

60124

KANE

N

03/15/2026