AMBILI P KANIYATTU Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041471586

License Status

INACTIVE

Business

First Name

AMBILI

Middle

Last Name

KANIYATTU

Business Name

AMBILI P KANIYATTU

Original Issue Date

10/18/2018

Effective Date

03/02/2024

Expiration Date

05/31/2026

City

LAND O LAKES

State

Zip

34638

Ever Disciplined

LastModifiedDate

03/02/2026