DETTY KURUVILA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041478706

License Status

NOT RENEWED

Business

First Name

DETTY

Last Name

KURUVILA

Business Name

DETTY KURUVILA

Original Issue Date

04/29/2019

Effective Date

04/02/2020

Expiration Date

08/31/2022

City

DECATUR

State

Zip

62522

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/14/2022