UTAIVAN POONSAPAYA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121450

License Status

NOT RENEWED

Business

First Name

UTAIVAN

Last Name

POONSAPAYA

Business Name

UTAIVAN POONSAPAYA

Original Issue Date

06/15/1967

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

HARWOOD HEIGHTS

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

08/16/2010