PANOM CHANTANAPRAYURA - Registered Nurse License in Illinois | # 041111372

PANOM CHANTANAPRAYURA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111372

License Status

NOT RENEWED

Business

N

First Name

PANOM

Last Name

CHANTANAPRAYURA

Business Name

PANOM CHANTANAPRAYURA

Original Issue Date

11/19/1964

Effective Date

11/19/1964

Expiration Date

05/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006