VIJAYAMMA R KOOTTANAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041201692

License Status

NOT RENEWED

Business

First Name

VIJAYAMMA R

Last Name

KOOTTANAL

Business Name

VIJAYAMMA R KOOTTANAL

Original Issue Date

05/19/1981

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021