SUSAMMA PAUL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074759

License Status

NOT RENEWED

Business

First Name

SUSAMMA

Last Name

PAUL

Business Name

SUSAMMA PAUL

Original Issue Date

12/21/1993

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/15/2005