JONATHAN MITCHEL CARRILLO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080853

License Status

INACTIVE

Business

First Name

JONATHAN MITCHEL

Last Name

CARRILLO

Business Name

JONATHAN MITCHEL CARRILLO

Original Issue Date

05/14/1997

Effective Date

12/06/2004

Expiration Date

01/31/2007

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/03/2006