BENJAMAS PONGCHED Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129007

License Status

INACTIVE

Business

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

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/08/2012