TEODORA B ASENCIO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041195786

License Status

NOT RENEWED

Business

First Name

TEODORA B

Last Name

ASENCIO

Business Name

TEODORA B ASENCIO

Original Issue Date

05/06/1980

Effective Date

05/11/2020

Expiration Date

08/31/2022

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2022