ANNAMMA ABRAHAM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

INACTIVE

Business

First Name

ANNAMMA

Last Name

ABRAHAM

Business Name

ANNAMMA ABRAHAM

Original Issue Date

02/08/2012

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2025