BHADRA D KOMARRAJU Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

NOT RENEWED

Business

First Name

BHADRA

Middle

Last Name

KOMARRAJU

Business Name

BHADRA D KOMARRAJU

Original Issue Date

05/27/2015

Effective Date

05/27/2015

Expiration Date

05/31/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016