PATHUM MANIPARNRATNA - Registered Nurse License in Illinois | # 041130435

PATHUM MANIPARNRATNA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130435

License Status

NOT RENEWED

Business

N

First Name

PATHUM

Last Name

MANIPARNRATNA

Business Name

PATHUM MANIPARNRATNA

Original Issue Date

03/17/1969

Effective Date

03/17/1969

Expiration Date

05/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006