BEPONGKUM VATHANANAND Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041113430

License Status

INACTIVE

Business

First Name

BEPONGKUM

Last Name

VATHANANAND

Business Name

BEPONGKUM VATHANANAND

Original Issue Date

04/01/1965

Effective Date

04/01/1965

Expiration Date

05/31/1990

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006