SUKON SRISA-AN - Registered Nurse License in Illinois | # 041106498

SUKON SRISA-AN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041106498

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006