License Directory

Ajie Jibu Mammarappallil

Expired

California license 622550

License

Licensed by
California Board of Registered Nursing
License number
622550
Status
Expired (Delinquent)
First issued
July 25, 2003
Expired
February 28, 2007
License holder
Ajie Jibu Mammarappallil
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

9242 Maplewood Ct
Orland Hills, IL 60477
Cook County