TANGSURAT WILAIWAN - Registered Nurse License in California | # 041189370

TANGSURAT WILAIWAN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189370

License Status

INACTIVE

Business

N

First Name

TANGSURAT

Last Name

WILAIWAN

Business Name

TANGSURAT WILAIWAN

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1990

State

CA

Ever Disciplined

N

LastModifiedDate

09/27/2006