JAVIER ANTONIO CARRILLO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081981

License Status

NOT RENEWED

Business

First Name

JAVIER

Middle

ANTONIO

Last Name

CARRILLO

Business Name

JAVIER ANTONIO CARRILLO

Original Issue Date

01/28/1998

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

OAK GROVE

State

Zip

42262

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/15/2005