KALPANA MUTYALA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

INACTIVE

Business

First Name

KALPANA

Last Name

MUTYALA

Business Name

KALPANA MUTYALA

Original Issue Date

01/27/2017

Effective Date

09/08/2020

Expiration Date

05/31/2022

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

09/08/2020