LIJO KUTTENCHIRA MATHEW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041542991

License Status

NOT RENEWED

Business

First Name

LIJO

Middle

KUTTENCHIRA

Last Name

MATHEW

Business Name

LIJO KUTTENCHIRA MATHEW

Original Issue Date

04/28/2023

Effective Date

04/28/2023

Expiration Date

06/30/2024

City

BROOMALL

State

Zip

19008

Ever Disciplined

LastModifiedDate

02/05/2025