PONNAMMA IDICULA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041164988

License Status

NOT RENEWED

Business

First Name

PONNAMMA

Last Name

IDICULA

Business Name

PONNAMMA IDICULA

Original Issue Date

10/24/1975

Effective Date

10/24/1975

Expiration Date

05/31/1988

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006