SINU PAULOSE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

SINU

Last Name

PAULOSE

Business Name

SINU PAULOSE

Original Issue Date

04/16/2019

Effective Date

04/16/2019

Expiration Date

09/30/2020

City

DESPLAINES

State

Zip

60035

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021