ANNAMMA SAMUEL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196341

License Status

INACTIVE

Business

First Name

ANNAMMA

Last Name

SAMUEL

Business Name

ANNAMMA SAMUEL

Original Issue Date

08/06/1980

Effective Date

03/27/2014

Expiration Date

05/31/2016

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

03/16/2016