SUSAMMA PAUL - Registered Nurse License in Illinois | # 041407033

SUSAMMA PAUL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041407033

License Status

NOT RENEWED

Business

N

First Name

SUSAMMA

Last Name

PAUL

Business Name

SUSAMMA PAUL

Original Issue Date

11/02/2012

Effective Date

05/05/2020

Expiration Date

08/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2022