TIPAWAN PHOLPITUCKSA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041113425

License Status

NOT RENEWED

Business

First Name

TIPAWAN

Last Name

PHOLPITUCKSA

Business Name

TIPAWAN PHOLPITUCKSA

Original Issue Date

04/01/1965

Effective Date

04/01/1965

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008