PAYOM BOONVIRATANA - Registered Nurse License in Kansas | # 041154916

PAYOM BOONVIRATANA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154916

License Status

INACTIVE

Business

N

First Name

PAYOM

Last Name

BOONVIRATANA

Business Name

PAYOM BOONVIRATANA

Original Issue Date

07/01/1974

Effective Date

07/01/1974

State

KS

Ever Disciplined

N

LastModifiedDate

09/27/2006