JUDITH R PITAWANAKWAT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105943

License Status

INACTIVE

Business

First Name

JUDITH R

Last Name

PITAWANAKWAT

Business Name

JUDITH R PITAWANAKWAT

Original Issue Date

04/01/1963

Effective Date

04/01/1963

City

CHICAGO

State

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006