SHIRLEY J ASENCIO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041243438

License Status

INACTIVE

Business

First Name

SHIRLEY J

Last Name

ASENCIO

Business Name

SHIRLEY J ASENCIO

Original Issue Date

10/02/1987

Effective Date

03/23/2012

Expiration Date

05/31/2014

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

03/06/2014