SUDA JAYASVASTI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104410

License Status

NOT RENEWED

Business

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

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006