CICILIAMMA THOMAS KAKKANATTU Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041534125

License Status

INACTIVE

Business

First Name

CICILIAMMA THOMAS

Last Name

KAKKANATTU

Business Name

CICILIAMMA THOMAS KAKKANATTU

Original Issue Date

10/25/2022

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

FISHER BRANCH

State

Zip

R0C0Z

Ever Disciplined

LastModifiedDate

03/16/2026