SURAPEE SIRISAMPHAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041115216

License Status

NOT RENEWED

Business

First Name

SURAPEE

Last Name

SIRISAMPHAN

Business Name

SURAPEE SIRISAMPHAN

Original Issue Date

10/19/1965

Effective Date

10/19/1965

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006