PATIPORN FARGRACHANG - Registered Nurse License in Illinois | # 041131243

PATIPORN FARGRACHANG

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131243

License Status

INACTIVE

Business

N

First Name

PATIPORN

Last Name

FARGRACHANG

Business Name

PATIPORN FARGRACHANG

Original Issue Date

07/10/1969

Effective Date

07/10/1969

Expiration Date

05/01/1982

City

WESTMONT

State

IL

Zip

60559

County

DUPAGE

Ever Disciplined

N

LastModifiedDate

09/27/2006