BEEBA ACHAMMA MATHEW Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

NOT RENEWED

Business

First Name

BEEBA

Middle

ACHAMMA

Last Name

MATHEW

Business Name

BEEBA ACHAMMA MATHEW

Original Issue Date

06/03/2021

Effective Date

08/31/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025