BHADRA D KOMARRAJU Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010785

License Status

INACTIVE

Business

First Name

BHADRA

Middle

Last Name

KOMARRAJU

Business Name

BHADRA D KOMARRAJU

Original Issue Date

10/02/2013

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

MADISON

State

Zip

62060

County

MADISON

Ever Disciplined

LastModifiedDate

09/14/2020