ANNAMMA P SAMUEL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041209548

License Status

INACTIVE

Business

First Name

ANNAMMA P

Last Name

SAMUEL

Business Name

ANNAMMA P SAMUEL

Original Issue Date

05/10/1982

Effective Date

04/24/2012

Expiration Date

05/31/2014

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

03/06/2014