DIVYA MATHEW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041485152

License Status

NOT RENEWED

Business

First Name

DIVYA

Last Name

MATHEW

Business Name

DIVYA MATHEW

Original Issue Date

09/04/2019

Effective Date

09/03/2020

Expiration Date

08/31/2022

City

DEARBORN

State

Zip

48124

Ever Disciplined

LastModifiedDate

10/14/2022