DOMINGA P VICENCIO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131181

License Status

INACTIVE

Business

First Name

DOMINGA P

Last Name

VICENCIO

Business Name

DOMINGA P VICENCIO

Original Issue Date

06/26/1969

Effective Date

06/26/1969

Expiration Date

05/31/2000

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006