License Directory

Lisin Jose Panamkalayil

Expired

California license 631136

License

Licensed by
California Board of Registered Nursing
License number
631136
Status
Expired (Delinquent)
First issued
January 16, 2004
Expired
July 31, 2023
License holder
Lisin Jose Panamkalayil
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

921 Park Plaine Ave
Park Ridge, IL 60068-2225
Cook County