THANKAMMA BABUKU POTHEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203494

License Status

NOT RENEWED

Business

First Name

THANKAMMA BABUKU

Last Name

POTHEN

Business Name

THANKAMMA BABUKU POTHEN

Original Issue Date

09/16/1981

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021