GRACE D AGONCILLO Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041298812

License Status

ACTIVE

Business

First Name

GRACE D

Last Name

AGONCILLO

Business Name

GRACE D AGONCILLO

Original Issue Date

08/15/1996

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

03/01/2026