SUKON SRISA-AN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041106498

License Status

INACTIVE

Business

First Name

SUKON

Last Name

SRISA-AN

Business Name

SUKON SRISA-AN

Original Issue Date

05/21/1963

Effective Date

05/21/1963

Expiration Date

05/31/2000

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006