MARY M IDIKKULA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070993

License Status

NOT RENEWED

Business

First Name

MARY M

Last Name

IDIKKULA

Business Name

MARY M IDIKKULA

Original Issue Date

01/16/1992

Effective Date

12/10/2012

Expiration Date

01/31/2015

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/09/2015