ANNAMMA P SAMUEL - Registered Nurse License in Illinois | # 041209548

ANNAMMA P SAMUEL

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041209548

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/06/2014