PRANOM MOONMUANG - Registered Nurse License in Illinois | # 041121589

PRANOM MOONMUANG

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121589

License Status

INACTIVE

Business

N

First Name

PRANOM

Last Name

MOONMUANG

Business Name

PRANOM MOONMUANG

Original Issue Date

07/21/1967

Effective Date

07/21/1967

Expiration Date

05/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006