SUPUNNEE NILAPETHRA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041110328

License Status

NOT RENEWED

Business

First Name

SUPUNNEE

Last Name

NILAPETHRA

Business Name

SUPUNNEE NILAPETHRA

Original Issue Date

07/28/1964

Effective Date

05/05/2010

Expiration Date

05/31/2012

City

ROMEOVILLE

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

07/10/2012