SIRIPHET KOOMSORN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116464

License Status

NOT RENEWED

Business

First Name

SIRIPHET

Last Name

KOOMSORN

Business Name

SIRIPHET KOOMSORN

Original Issue Date

12/29/1965

Effective Date

12/29/1965

Expiration Date

05/31/2004

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006