LATHA JAYAKUMAR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069264

License Status

INACTIVE

Business

First Name

LATHA

Last Name

JAYAKUMAR

Business Name

LATHA JAYAKUMAR

Original Issue Date

12/21/1990

Effective Date

11/29/2004

Expiration Date

01/31/2005

City

ELMHURST

State

Zip

60126

Ever Disciplined

LastModifiedDate

10/15/2005