AMALU MITHUN THALIYATH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043133515

License Status

ACTIVE

Business

First Name

AMALU

Middle

MITHUN

Last Name

THALIYATH

Business Name

AMALU MITHUN THALIYATH

Original Issue Date

05/02/2023

Effective Date

12/12/2024

Expiration Date

01/31/2027

City

MERRILLVILLE

State

Zip

46410

Ever Disciplined

LastModifiedDate

12/12/2024