BASILGLENN M DEVENECIA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107874

License Status

NOT RENEWED

Business

First Name

BASILGLENN

Middle

Last Name

DEVENECIA

Business Name

BASILGLENN M DEVENECIA

Original Issue Date

04/13/2009

Effective Date

04/13/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011