MARIAMMA SAMUEL - Registered Nurse License in Illinois | # 041189384

MARIAMMA SAMUEL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189384

License Status

NOT RENEWED

Business

N

First Name

MARIAMMA

Last Name

SAMUEL

Business Name

MARIAMMA SAMUEL

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006