SIMI KOOTTAPPILLIL MATHEW Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041577820

License Status

ACTIVE

Business

First Name

SIMI

Last Name

KOOTTAPPILLIL MATHEW

Business Name

SIMI KOOTTAPPILLIL MATHEW

Original Issue Date

12/03/2024

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

CARROLL

State

Zip

51401

Ever Disciplined

LastModifiedDate

03/23/2026