JOICE ILLIMOOTTIL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

NOT RENEWED

Business

First Name

JOICE

Last Name

ILLIMOOTTIL

Business Name

JOICE ILLIMOOTTIL

Original Issue Date

01/19/2018

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022