PISSAMAI VITAYAVIROJ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111257

License Status

NOT RENEWED

Business

First Name

PISSAMAI

Last Name

VITAYAVIROJ

Business Name

PISSAMAI VITAYAVIROJ

Original Issue Date

10/26/1964

Effective Date

10/26/1964

Expiration Date

05/31/1990

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006