SUBY ABY PANICHIKUDIYIL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

SUBY

Middle

ABY

Last Name

PANICHIKUDIYIL

Business Name

SUBY ABY PANICHIKUDIYIL

Original Issue Date

03/07/2024

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

DARIEN

State

Zip

60561

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/07/2024