NITYA C MAMMOOTTIL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041486892

License Status

NOT RENEWED

Business

First Name

NITYA

Middle

Last Name

MAMMOOTTIL

Business Name

NITYA C MAMMOOTTIL

Original Issue Date

10/21/2019

Effective Date

04/20/2020

Expiration Date

08/31/2022

City

BELTSVILLE

State

Zip

20705

Ever Disciplined

LastModifiedDate

10/14/2022