SRISAMORN BANCHAM - Registered Nurse License in California | # 041195968

SRISAMORN BANCHAM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041195968

License Status

INACTIVE

Business

N

First Name

SRISAMORN

Last Name

BANCHAM

Business Name

SRISAMORN BANCHAM

Original Issue Date

07/03/1980

Effective Date

07/03/1980

Expiration Date

05/31/1988

State

CA

Ever Disciplined

N

LastModifiedDate

09/27/2006