ANITA BASCONCILLO OBIAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041304412

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

BASCONCILLO

Last Name

OBIAL

Business Name

ANITA BASCONCILLO OBIAL

Original Issue Date

08/08/1997

Effective Date

08/08/1997

Expiration Date

05/31/2004

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/09/2006