PHILIP DINO CENTRACCHIO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041226890

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

DINO

Last Name

CENTRACCHIO

Business Name

PHILIP DINO CENTRACCHIO

Original Issue Date

10/29/1984

Effective Date

12/10/2010

Expiration Date

05/31/2012

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

07/10/2012