MANIDA CHANDAVIMOL - Registered Nurse License in Illinois | # 041103889

MANIDA CHANDAVIMOL

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103889

License Status

INACTIVE

Business

N

First Name

MANIDA

Last Name

CHANDAVIMOL

Business Name

MANIDA CHANDAVIMOL

Original Issue Date

10/22/1962

Effective Date

10/22/1962

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006