YIVA BHUPHAIBOOL - Registered Nurse License in Illinois | # 041124672

YIVA BHUPHAIBOOL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124672

License Status

NOT RENEWED

Business

N

First Name

YIVA

Last Name

BHUPHAIBOOL

Business Name

YIVA BHUPHAIBOOL

Original Issue Date

01/03/1968

Effective Date

01/03/1968

Expiration Date

05/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006