SUPALAK SOOKSIRINAETISART - Registered Nurse License in Mississippi | # 041106668

SUPALAK SOOKSIRINAETISART

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041106668

License Status

NOT RENEWED

Business

N

First Name

SUPALAK

Last Name

SOOKSIRINAETISART

Business Name

SUPALAK SOOKSIRINAETISART

Original Issue Date

07/10/1963

Effective Date

07/10/1963

State

MS

Ever Disciplined

N

LastModifiedDate

09/27/2006