SRINIUM CHAIVANA - Registered Nurse License in Illinois | # 041137737

SRINIUM CHAIVANA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137737

License Status

NOT RENEWED

Business

N

First Name

SRINIUM

Last Name

CHAIVANA

Business Name

SRINIUM CHAIVANA

Original Issue Date

11/19/1970

Effective Date

11/19/1970

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006