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*****69

License Status

NOT RENEWED

Business

First Name

MEENA

Middle

Last Name

CHACKO

Business Name

MEENA S CHACKO

Original Issue Date

12/19/2008

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

07/10/2012