JIBI KOLLATHOTTATHIL CHACKO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041546569

License Status

NOT RENEWED

Business

First Name

JIBI

Last Name

KOLLATHOTTATHIL CHACKO

Business Name

JIBI KOLLATHOTTATHIL CHACKO

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/30/2024

City

EVANS

State

Zip

30809

Ever Disciplined

LastModifiedDate

02/05/2025