SOMPORN INTAPICHAI - Registered Nurse License in Illinois | # 041121215

SOMPORN INTAPICHAI

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121215

License Status

NOT RENEWED

Business

N

First Name

SOMPORN

Last Name

INTAPICHAI

Business Name

SOMPORN INTAPICHAI

Original Issue Date

05/04/1967

Effective Date

05/04/1967

Expiration Date

05/31/1994

City

CHICAGO

State

IL

Zip

60616

County

COOK

Ever Disciplined

N

LastModifiedDate

09/27/2006