PORNPUN SIRIBHADRA - Registered Nurse License in California | # 041125969

PORNPUN SIRIBHADRA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041125969

License Status

NOT RENEWED

Business

N

First Name

PORNPUN

Last Name

SIRIBHADRA

Business Name

PORNPUN SIRIBHADRA

Original Issue Date

06/10/1968

Effective Date

06/10/1968

Expiration Date

05/31/1990

City

TAFT

State

CA

Zip

93268

County

CALIFORNIA

Ever Disciplined

N

LastModifiedDate

09/27/2006