FEBIN MATHEW Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INACTIVE

Business

First Name

FEBIN

Last Name

MATHEW

Business Name

FEBIN MATHEW

Original Issue Date

12/06/2016

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

HINES

State

Zip

60141

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020