THANKAMMA S MAMMEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168272

License Status

NOT RENEWED

Business

First Name

THANKAMMA S

Last Name

MAMMEN

Business Name

THANKAMMA S MAMMEN

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/1988

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006