BANYEN SANSANIYAVET Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134801

License Status

INACTIVE

Business

First Name

BANYEN

Last Name

SANSANIYAVET

Business Name

BANYEN SANSANIYAVET

Original Issue Date

03/17/1970

Effective Date

03/17/1970

Expiration Date

05/31/2002

City

CLOVIS

State

Zip

93611

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006