MAMMEN P KURUVILLA Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004068

License Status

NOT RENEWED

Business

First Name

MAMMEN

Middle

Last Name

KURUVILLA

Business Name

MAMMEN P KURUVILLA

Original Issue Date

02/14/2000

Effective Date

10/15/2013

Expiration Date

10/31/2015

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/09/2015