SUKON KUSUMPA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131054

License Status

NOT RENEWED

Business

First Name

SUKON

Last Name

KUSUMPA

Business Name

SUKON KUSUMPA

Original Issue Date

06/12/1969

Effective Date

06/12/1969

Expiration Date

05/31/2008

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/11/2008