PHILSY JOMON EDAKARA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020369

License Status

ACTIVE

Business

First Name

PHILSY

Middle

JOMON

Last Name

EDAKARA

Business Name

PHILSY JOMON EDAKARA

Original Issue Date

11/01/2019

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

PARK RIDGE

State

Zip

60068

Ever Disciplined

LastModifiedDate

03/13/2026