BISSY KUMPUCKAL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

NOT RENEWED

Business

First Name

BISSY

Last Name

KUMPUCKAL

Business Name

BISSY KUMPUCKAL

Original Issue Date

12/28/2015

Effective Date

04/26/2018

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021