TAMATHA R PUNNAHITANOND Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014872

License Status

INACTIVE

Business

First Name

TAMATHA

Middle

Last Name

PUNNAHITANOND

Business Name

TAMATHA R PUNNAHITANOND

Original Issue Date

09/19/2016

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2020