SUPANG DHEPYASUWAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124458

License Status

INACTIVE

Business

First Name

SUPANG

Last Name

DHEPYASUWAN

Business Name

SUPANG DHEPYASUWAN

Original Issue Date

12/13/1967

Effective Date

12/13/1967

Expiration Date

05/31/2004

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006