SUSSAMMA K MATHEW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041279576

License Status

INACTIVE

Business

First Name

SUSSAMMA K

Last Name

MATHEW

Business Name

SUSSAMMA K MATHEW

Original Issue Date

04/09/1994

Effective Date

04/09/1994

Expiration Date

05/31/2002

City

YUKON

State

Zip

73099

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/09/2006