SUDARATANA VASAVID - Registered Nurse License in Illinois | # 041129002

SUDARATANA VASAVID

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129002

License Status

NOT RENEWED

Business

N

First Name

SUDARATANA

Last Name

VASAVID

Business Name

SUDARATANA VASAVID

Original Issue Date

03/30/1970

Effective Date

04/02/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021