SHIRLEY L ASENCIO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213559

License Status

INACTIVE

Business

First Name

SHIRLEY L

Last Name

ASENCIO

Business Name

SHIRLEY L ASENCIO

Original Issue Date

11/04/1982

Effective Date

03/25/2010

Expiration Date

05/31/2012

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/08/2012