SUMOL SUPASANGUAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129062

License Status

NOT RENEWED

Business

First Name

SUMOL

Last Name

SUPASANGUAN

Business Name

SUMOL SUPASANGUAN

Original Issue Date

11/14/1968

Effective Date

11/14/1968

Expiration Date

05/31/1996

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006