SUPATTRA WATANATHAI - Registered Nurse License in Missouri | # 041154616

SUPATTRA WATANATHAI

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154616

License Status

INACTIVE

Business

N

First Name

SUPATTRA

Last Name

WATANATHAI

Business Name

SUPATTRA WATANATHAI

Original Issue Date

04/24/1974

Effective Date

04/24/1974

Expiration Date

05/31/1984

State

MO

Ever Disciplined

N

LastModifiedDate

09/27/2006