PORNPIMOL SUPATWANICH - Registered Nurse License in Illinois | # 041126301

PORNPIMOL SUPATWANICH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041126301

License Status

NOT RENEWED

Business

N

First Name

PORNPIMOL

Last Name

SUPATWANICH

Business Name

PORNPIMOL SUPATWANICH

Original Issue Date

08/06/1968

Effective Date

03/16/2010

Expiration Date

05/31/2012

City

CHICAGO

State

IL

Zip

60641

County

COOK

Ever Disciplined

N

LastModifiedDate

07/10/2012