SOMPORN SUWAPONG - Registered Nurse License in California | # 041155084

SOMPORN SUWAPONG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041155084

License Status

NOT RENEWED

Business

N

First Name

SOMPORN

Last Name

SUWAPONG

Business Name

SOMPORN SUWAPONG

Original Issue Date

07/01/1974

Effective Date

07/01/1974

Expiration Date

05/01/1982

City

CLOVIS

State

CA

Zip

93612

County

CALIFORNIA

Ever Disciplined

N

LastModifiedDate

09/27/2006