SOSIMOL JOSEPH ETHAKATTU Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011033

License Status

INACTIVE

Business

First Name

SOSIMOL

Middle

JOSEPH

Last Name

ETHAKATTU

Business Name

SOSIMOL JOSEPH ETHAKATTU

Original Issue Date

11/21/2013

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2018