Shijo Mudakodiyil Jose
ExpiredCalifornia license 623771
License
- Licensed by
- California Board of Registered Nursing
- License number
- 623771
- Status
- Expired (Delinquent)
- First issued
- August 11, 2003
- Expired
- December 31, 2014
- License holder
- Shijo Mudakodiyil Jose
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1442 Pinetree Dr
Naperville, IL 60565
Naperville, IL 60565
Du Page County