PRIMPROUN SUJATANOND Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130861

License Status

INACTIVE

Business

First Name

PRIMPROUN

Last Name

SUJATANOND

Business Name

PRIMPROUN SUJATANOND

Original Issue Date

05/13/1969

Effective Date

05/13/1969

Expiration Date

05/31/2008

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/11/2008