MARIAMMA MATHEW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161436

License Status

INACTIVE

Business

First Name

MARIAMMA

Last Name

MATHEW

Business Name

MARIAMMA MATHEW

Original Issue Date

09/08/1975

Effective Date

09/08/1975

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006