ANNAMMA E MANGALASSERIL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203115

License Status

INACTIVE

Business

First Name

ANNAMMA E

Last Name

MANGALASSERIL

Business Name

ANNAMMA E MANGALASSERIL

Original Issue Date

06/05/1981

Effective Date

03/23/2018

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/08/2020