SOMPORN TIMTIAMPET - Registered Nurse License in Illinois | # 041112448

SOMPORN TIMTIAMPET

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112448

License Status

INACTIVE

Business

N

First Name

SOMPORN

Last Name

TIMTIAMPET

Business Name

SOMPORN TIMTIAMPET

Original Issue Date

12/10/1964

Effective Date

12/10/1964

Expiration Date

05/31/1990

City

CHICAGO

State

IL

Zip

60607

County

COOK

Ever Disciplined

N

LastModifiedDate

09/27/2006