ANNAMMA E MANGALASSERIL - Registered Nurse License in Illinois | # 041203115

ANNAMMA E MANGALASSERIL

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203115

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2020