MARIAMMA MAMMEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041205632

License Status

NOT RENEWED

Business

First Name

MARIAMMA

Last Name

MAMMEN

Business Name

MARIAMMA MAMMEN

Original Issue Date

10/08/1981

Effective Date

03/25/2010

Expiration Date

05/31/2012

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012