PONNAMMA THOMAS - Registered Nurse License in Illinois | # 041216398

PONNAMMA THOMAS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041216398

License Status

NOT RENEWED

Business

N

First Name

PONNAMMA

Last Name

THOMAS

Business Name

PONNAMMA THOMAS

Original Issue Date

05/09/1983

Effective Date

04/04/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014