BOONTHEUNG SUKANTAWANICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130512

License Status

INACTIVE

Business

First Name

BOONTHEUNG

Last Name

SUKANTAWANICH

Business Name

BOONTHEUNG SUKANTAWANICH

Original Issue Date

03/25/1969

Effective Date

03/25/1969

Expiration Date

05/01/1982

City

NILES

State

Zip

60648

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006