PATARAPORN W SRIPRARAM - Advanced Practice Nurse License in Illinois | # 30*****17

PATARAPORN W SRIPRARAM

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

N

First Name

PATARAPORN

Middle

W

Last Name

SRIPRARAM

Business Name

PATARAPORN W SRIPRARAM

Original Issue Date

06/25/2022

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

HINES

State

IL

Zip

60141

County

COOK

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

N

LastModifiedDate

03/02/2026