BOONNA TONGSUPACHOK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116496

License Status

NOT RENEWED

Business

First Name

BOONNA

Last Name

TONGSUPACHOK

Business Name

BOONNA TONGSUPACHOK

Original Issue Date

01/04/1966

Effective Date

01/04/1966

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006