SOUSAMMA PALAKAMANNIL MATHEW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041358348

License Status

NOT RENEWED

Business

First Name

SOUSAMMA

Middle

PALAKAMANNIL

Last Name

MATHEW

Business Name

SOUSAMMA PALAKAMANNIL MATHEW

Original Issue Date

02/20/2007

Effective Date

02/20/2007

Expiration Date

05/31/2008

City

SAVANNAH

State

Zip

31411

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/11/2008