BENJAMAS PONGCHED - Registered Nurse License in Illinois | # 041129007

BENJAMAS PONGCHED

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129007

License Status

INACTIVE

Business

N

First Name

BENJAMAS

Last Name

PONGCHED

Business Name

BENJAMAS PONGCHED

Original Issue Date

11/13/1968

Effective Date

04/26/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2012