SUDARATANA VASAVID Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129002

License Status

NOT RENEWED

Business

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

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021