ANSAMMA POOTHAVELIL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041360537

License Status

NOT RENEWED

Business

First Name

ANSAMMA

Last Name

POOTHAVELIL

Business Name

ANSAMMA POOTHAVELIL

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

05/31/2008

City

GROSS POINTE PARK

State

Zip

48230

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/11/2008