SUSAMMA PHILIP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041225702

License Status

NOT RENEWED

Business

First Name

SUSAMMA

Last Name

PHILIP

Business Name

SUSAMMA PHILIP

Original Issue Date

10/09/1984

Effective Date

10/09/1984

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006