SAISAWAT JIVACATE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129557

License Status

NOT RENEWED

Business

First Name

SAISAWAT

Last Name

JIVACATE

Business Name

SAISAWAT JIVACATE

Original Issue Date

12/31/1968

Effective Date

12/31/1968

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006