MARYAMMA S EDAKKUNNATHU Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110106

License Status

NOT RENEWED

Business

First Name

MARYAMMA

Middle

Last Name

EDAKKUNNATHU

Business Name

MARYAMMA S EDAKKUNNATHU

Original Issue Date

03/24/2010

Effective Date

01/18/2011

Expiration Date

01/31/2013

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/20/2013