JASON MATHEW IDIKKULA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113547

License Status

ACTIVE

Business

First Name

JASON

Middle

MATHEW

Last Name

IDIKKULA

Business Name

JASON MATHEW IDIKKULA

Original Issue Date

09/28/2011

Effective Date

11/18/2024

Expiration Date

01/31/2027

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/18/2024