PRANEE SIRIVASUKANCHANA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131047

License Status

INACTIVE

Business

First Name

PRANEE

Last Name

SIRIVASUKANCHANA

Business Name

PRANEE SIRIVASUKANCHANA

Original Issue Date

06/12/1969

Effective Date

06/12/1969

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006