PENN PHUANGSAB Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041113698

License Status

INACTIVE

Business

First Name

PENN

Last Name

PHUANGSAB

Business Name

PENN PHUANGSAB

Original Issue Date

04/30/1965

Effective Date

04/30/1965

Expiration Date

05/31/2000

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006