TARINEE LUCKSANAVIBUL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123564

License Status

INACTIVE

Business

First Name

TARINEE

Last Name

LUCKSANAVIBUL

Business Name

TARINEE LUCKSANAVIBUL

Original Issue Date

10/20/1969

Effective Date

10/20/1969

Expiration Date

05/31/1990

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006