LA-IAD BUNNAG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102780

License Status

INACTIVE

Business

First Name

LA-IAD

Last Name

BUNNAG

Business Name

LA-IAD BUNNAG

Original Issue Date

04/02/1962

Effective Date

04/02/1962

Expiration Date

05/31/2002

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006