CHUANCHEUN KORNKASEM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129904

License Status

INACTIVE

Business

First Name

CHUANCHEUN

Last Name

KORNKASEM

Business Name

CHUANCHEUN KORNKASEM

Original Issue Date

02/10/1969

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

03/05/2010