SIRIPAN PEUKSAKONDHA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116834

License Status

NOT RENEWED

Business

First Name

SIRIPAN

Last Name

PEUKSAKONDHA

Business Name

SIRIPAN PEUKSAKONDHA

Original Issue Date

02/18/1966

Effective Date

02/18/1966

Expiration Date

05/31/1988

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006