KOSOOM BOONTUKSA - Registered Nurse License in New Jersey | # 041138447

KOSOOM BOONTUKSA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041138447

License Status

INACTIVE

Business

N

First Name

KOSOOM

Last Name

BOONTUKSA

Business Name

KOSOOM BOONTUKSA

Original Issue Date

12/17/1970

Effective Date

12/17/1970

Expiration Date

05/01/1982

State

NJ

Ever Disciplined

N

LastModifiedDate

09/27/2006