CRISPIN T ELACKATTU Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041472797

License Status

NOT RENEWED

Business

First Name

CRISPIN

Middle

Last Name

ELACKATTU

Business Name

CRISPIN T ELACKATTU

Original Issue Date

11/29/2018

Effective Date

06/01/2022

Expiration Date

06/30/2024

City

STERLING HEIGHTS

State

Zip

48314

Ever Disciplined

LastModifiedDate

02/05/2025