SRISUDA K THAVORNUN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119968

License Status

NOT RENEWED

Business

First Name

SRISUDA K

Last Name

THAVORNUN

Business Name

SRISUDA K THAVORNUN

Original Issue Date

12/08/1966

Effective Date

12/08/1966

Expiration Date

05/31/1992

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006