KUSUMAM S THAYYIL - Registered Nurse License in Wisconsin | # 041296451

KUSUMAM S THAYYIL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296451

License Status

NOT RENEWED

Business

N

First Name

KUSUMAM S

Last Name

THAYYIL

Business Name

KUSUMAM S THAYYIL

Original Issue Date

04/18/1996

Effective Date

04/18/1996

Expiration Date

05/31/2004

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006