SHIRLEY J ASENCIO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016516

License Status

NOT RENEWED

Business

First Name

SHIRLEY J

Last Name

ASENCIO

Business Name

SHIRLEY J ASENCIO

Original Issue Date

10/06/1966

Expiration Date

01/31/1989

City

GALESBURGH

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/21/2005