MARIAMMA V IDICULA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041147900

License Status

NOT RENEWED

Business

First Name

MARIAMMA V

Last Name

IDICULA

Business Name

MARIAMMA V IDICULA

Original Issue Date

04/16/1973

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

08/16/2010