ANSAMMA POOTHAVELIL - Registered Nurse License in Michigan | # 041360537

ANSAMMA POOTHAVELIL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041360537

License Status

NOT RENEWED

Business

N

First Name

ANSAMMA

Last Name

POOTHAVELIL

Business Name

ANSAMMA POOTHAVELIL

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

05/31/2008

State

MI

Ever Disciplined

N

LastModifiedDate

07/11/2008