BOONRUAN KANGVANVONGSA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112443

License Status

NOT RENEWED

Business

First Name

BOONRUAN

Last Name

KANGVANVONGSA

Business Name

BOONRUAN KANGVANVONGSA

Original Issue Date

12/10/1964

Effective Date

12/10/1964

Expiration Date

05/31/2000

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006