MARIA GRACE THAIVEETTIL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019789

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

GRACE

Last Name

THAIVEETTIL

Business Name

MARIA GRACE THAIVEETTIL

Original Issue Date

08/08/2019

Effective Date

08/08/2019

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021