JOLU SAJI JOHN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

NOT RENEWED

Business

First Name

JOLU

Middle

SAJI

Last Name

JOHN

Business Name

JOLU SAJI JOHN

Original Issue Date

05/02/2017

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

SAN ANTONIO

State

Zip

78205

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021