MINI R THEKKEVAYALIL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041363826

License Status

NOT RENEWED

Business

First Name

MINI

Middle

Last Name

THEKKEVAYALIL

Business Name

MINI R THEKKEVAYALIL

Original Issue Date

09/21/2007

Effective Date

05/19/2010

Expiration Date

05/31/2012

City

MILWAUKEE

State

Zip

53237

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012