MANIDA CHANDAVIMOL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103889

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006