PITSAMAI INTAWIWAT - Registered Nurse License in South Carolina | # 041130431

PITSAMAI INTAWIWAT

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130431

License Status

INACTIVE

Business

N

First Name

PITSAMAI

Last Name

INTAWIWAT

Business Name

PITSAMAI INTAWIWAT

Original Issue Date

03/17/1969

Effective Date

03/17/1969

Expiration Date

05/31/2000

State

SC

Ever Disciplined

N

LastModifiedDate

09/27/2006