PANOM CHANTANAPRAYURA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111372

License Status

NOT RENEWED

Business

First Name

PANOM

Last Name

CHANTANAPRAYURA

Business Name

PANOM CHANTANAPRAYURA

Original Issue Date

11/19/1964

Effective Date

11/19/1964

Expiration Date

05/31/1996

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006