SUBY ABY PANICHIKUDIYIL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028978

License Status

ACTIVE

Business

First Name

SUBY

Middle

ABY

Last Name

PANICHIKUDIYIL

Business Name

SUBY ABY PANICHIKUDIYIL

Original Issue Date

12/06/2023

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

DARIEN

State

Zip

60561

Ever Disciplined

LastModifiedDate

03/02/2026