SUDA JAYASVASTI - Registered Nurse License in Illinois | # 041104410

SUDA JAYASVASTI

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104410

License Status

NOT RENEWED

Business

N

First Name

SUDA

Last Name

JAYASVASTI

Business Name

SUDA JAYASVASTI

Original Issue Date

11/30/1962

Effective Date

11/30/1962

Expiration Date

05/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006