SHANTI P SUBBARAO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090213

License Status

NOT RENEWED

Business

First Name

SHANTI

Middle

Last Name

SUBBARAO

Business Name

SHANTI P SUBBARAO

Original Issue Date

09/10/2004

Effective Date

12/30/2004

Expiration Date

01/31/2007

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

08/21/2015