AJIN VARGHESE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

AJIN

Last Name

VARGHESE

Business Name

AJIN VARGHESE

Original Issue Date

12/06/2022

Effective Date

05/22/2024

Expiration Date

05/31/2026

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026