SOMSUP TRAGOOLVONGSE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114354

License Status

NOT RENEWED

Business

First Name

SOMSUP

Last Name

TRAGOOLVONGSE

Business Name

SOMSUP TRAGOOLVONGSE

Original Issue Date

08/11/1965

Effective Date

08/11/1965

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006