SUBAN POTIJINDA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109747

License Status

NOT RENEWED

Business

First Name

SUBAN

Last Name

POTIJINDA

Business Name

SUBAN POTIJINDA

Original Issue Date

04/20/1964

Effective Date

04/20/1964

Expiration Date

05/31/1990

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006