SUPARAJ INTARARAKSA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041127899

License Status

NOT RENEWED

Business

First Name

SUPARAJ

Last Name

INTARARAKSA

Business Name

SUPARAJ INTARARAKSA

Original Issue Date

09/24/1968

Effective Date

09/24/1968

City

LYNWOOD

State

Zip

90262

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/27/2006