JENIFER J LICON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041321068

License Status

NOT RENEWED

Business

First Name

JENIFER

Middle

Last Name

LICON

Business Name

JENIFER J LICON

Original Issue Date

08/22/2000

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021