SUMITRA PHOL-INTRA - Registered Nurse License in Illinois | # 041126210

SUMITRA PHOL-INTRA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041126210

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006