PONNAMMA A SAMUEL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041215419

License Status

INACTIVE

Business

First Name

PONNAMMA A

Last Name

SAMUEL

Business Name

PONNAMMA A SAMUEL

Original Issue Date

03/09/1983

Effective Date

03/19/2014

Expiration Date

05/31/2016

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

03/16/2016