SOSIMOL JOSEPH ETHAKATTU Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

INACTIVE

Business

First Name

SOSIMOL

Middle

JOSEPH

Last Name

ETHAKATTU

Business Name

SOSIMOL JOSEPH ETHAKATTU

Original Issue Date

06/12/2014

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2018