ANNAMMA K SAMUEL - Registered Nurse License in Illinois | # 041172900

ANNAMMA K SAMUEL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172900

License Status

NOT RENEWED

Business

N

First Name

ANNAMMA K

Last Name

SAMUEL

Business Name

ANNAMMA K SAMUEL

Original Issue Date

03/07/1977

Effective Date

03/28/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021