BASILGLENN M DEVENECIA - Registered Nurse License in Illinois | # 043107874

BASILGLENN M DEVENECIA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107874

License Status

NOT RENEWED

Business

N

First Name

BASILGLENN

Middle

M

Last Name

DEVENECIA

Business Name

BASILGLENN M DEVENECIA

Original Issue Date

04/13/2009

Effective Date

04/13/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011