WANPEN POTISOOK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129895

License Status

INACTIVE

Business

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

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006