PONGSRI BOONTANONDA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117436

License Status

INACTIVE

Business

First Name

PONGSRI

Last Name

BOONTANONDA

Business Name

PONGSRI BOONTANONDA

Original Issue Date

05/12/1966

Effective Date

05/12/1966

Expiration Date

05/31/1996

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006