WANPEN POTISOOK - Registered Nurse License in Illinois | # 041129895

WANPEN POTISOOK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129895

License Status

INACTIVE

Business

N

First Name

WANPEN

Last Name

POTISOOK

Business Name

WANPEN POTISOOK

Original Issue Date

02/10/1969

Effective Date

02/10/1969

Expiration Date

05/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006