SRIPORN GEWOLB - Registered Nurse License in Illinois | # 041116470

SRIPORN GEWOLB

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116470

License Status

INACTIVE

Business

N

First Name

SRIPORN

Last Name

GEWOLB

Business Name

SRIPORN GEWOLB

Original Issue Date

01/04/1966

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

GLENVIEW

State

IL

Zip

60025

County

COOK

Ever Disciplined

N

LastModifiedDate

03/05/2010