AJIE JIBU MAMMARAPPALLIL - Advanced Practice Nurse License in Illinois | # 209022913

AJIE JIBU MAMMARAPPALLIL

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022913

License Status

ACTIVE

Business

N

First Name

AJIE

Middle

JIBU

Last Name

MAMMARAPPALLIL

Business Name

AJIE JIBU MAMMARAPPALLIL

Original Issue Date

02/23/2021

Effective Date

03/02/2026

Expiration Date

05/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026