ACHAMMA MATHEW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186834

License Status

NOT RENEWED

Business

First Name

ACHAMMA

Last Name

MATHEW

Business Name

ACHAMMA MATHEW

Original Issue Date

02/20/1979

Effective Date

02/20/1979

Expiration Date

05/01/1982

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006