KALPANA MUTYALA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015323

License Status

INACTIVE

Business

First Name

KALPANA

Last Name

MUTYALA

Business Name

KALPANA MUTYALA

Original Issue Date

12/16/2016

Effective Date

09/08/2020

Expiration Date

05/31/2022

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

09/08/2020