HELEN M MUDDAMALLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

NOT RENEWED

Business

First Name

HELEN M

Last Name

MUDDAMALLE

Business Name

HELEN M MUDDAMALLE

Original Issue Date

03/06/2009

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

CARMEL

State

Zip

46033

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021