MARIAM ZACHARIAH KODUVALIL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041209542

License Status

INACTIVE

Business

First Name

MARIAM ZACHARIAH

Last Name

KODUVALIL

Business Name

MARIAM ZACHARIAH KODUVALIL

Original Issue Date

05/10/1982

Effective Date

09/01/2020

Expiration Date

08/31/2022

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

06/13/2022