MATT T VATANATUNYAKUM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025739

License Status

ACTIVE

Business

First Name

MATT

Middle

Last Name

VATANATUNYAKUM

Business Name

MATT T VATANATUNYAKUM

Original Issue Date

08/12/2022

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

ELK GROVE VILLAGE

State

Zip

60007

Ever Disciplined

LastModifiedDate

03/03/2026