MEENA S CHACKO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

NOT RENEWED

Business

First Name

MEENA

Middle

Last Name

CHACKO

Business Name

MEENA S CHACKO

Original Issue Date

08/22/2008

Effective Date

08/22/2008

Expiration Date

05/31/2010

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

08/11/2010