LYJI ANIL IDICULLA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041512772

License Status

ACTIVE

Business

First Name

LYJI

Last Name

ANIL IDICULLA

Business Name

LYJI ANIL IDICULLA

Original Issue Date

07/22/2021

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

03/01/2026