MARIAMMA JACOB MATHEW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041253286

License Status

INACTIVE

Business

First Name

MARIAMMA JACOB

Last Name

MATHEW

Business Name

MARIAMMA JACOB MATHEW

Original Issue Date

08/11/1989

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

TALLAHASSEE

State

Zip

32317

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021