SUPA BOONYOBHAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130782

License Status

NOT RENEWED

Business

First Name

SUPA

Last Name

BOONYOBHAS

Business Name

SUPA BOONYOBHAS

Original Issue Date

05/09/1969

Effective Date

05/09/1969

Expiration Date

05/31/2002

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006