BISSY KUMPUCKAL - Advanced Practice Nurse License in Illinois | # 209013257

BISSY KUMPUCKAL

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013257

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026