BISSY KUMPUCKAL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013257

License Status

ACTIVE

Business

First Name

BISSY

Last Name

KUMPUCKAL

Business Name

BISSY KUMPUCKAL

Original Issue Date

08/27/2015

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/02/2026