SUMITRA PHOL-INTRA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041126210

License Status

INACTIVE

Business

First Name

SUMITRA

Last Name

PHOL-INTRA

Business Name

SUMITRA PHOL-INTRA

Original Issue Date

07/15/1968

Effective Date

07/15/1968

Expiration Date

05/31/1990

City

HILLSIDE

State

Zip

60162

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/27/2006