AZALEA VICENTENO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

INACTIVE

Business

First Name

AZALEA

Last Name

VICENTENO

Business Name

AZALEA VICENTENO

Original Issue Date

01/11/2018

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60647

Ever Disciplined

LastModifiedDate

03/16/2026