SUPORN TANSIRI - Registered Nurse License in Illinois | # 041113701

SUPORN TANSIRI

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041113701

License Status

NOT RENEWED

Business

N

First Name

SUPORN

Last Name

TANSIRI

Business Name

SUPORN TANSIRI

Original Issue Date

04/30/1965

Effective Date

04/30/1965

Expiration Date

05/31/1994

City

WHEATON

State

IL

Zip

60187

County

DUPAGE

Ever Disciplined

N

LastModifiedDate

09/27/2006