AJIE JIBU MAMMARAPPALLIL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022913

License Status

ACTIVE

Business

First Name

AJIE

Middle

JIBU

Last Name

MAMMARAPPALLIL

Business Name

AJIE JIBU MAMMARAPPALLIL

Original Issue Date

02/23/2021

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026