SUPHA LAWHACHAINAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041127932

License Status

NOT RENEWED

Business

First Name

SUPHA

Last Name

LAWHACHAINAM

Business Name

SUPHA LAWHACHAINAM

Original Issue Date

10/02/1968

Effective Date

10/02/1968

Expiration Date

05/31/2002

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006