PAT A PUNDAVELA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203815

License Status

NOT RENEWED

Business

First Name

PAT A

Last Name

PUNDAVELA

Business Name

PAT A PUNDAVELA

Original Issue Date

09/16/1981

Effective Date

09/24/2020

Expiration Date

08/31/2022

City

MELROSE PARK

State

Zip

60164

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2022