ADA PHUTHAPHAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129894

License Status

NOT RENEWED

Business

First Name

ADA

Last Name

PHUTHAPHAN

Business Name

ADA PHUTHAPHAN

Original Issue Date

02/10/1969

Effective Date

02/10/1969

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006