PUCKVIMOL SANGBOONCHAI - Registered Nurse License in Illinois | # 041134165

PUCKVIMOL SANGBOONCHAI

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134165

License Status

INACTIVE

Business

N

First Name

PUCKVIMOL

Last Name

SANGBOONCHAI

Business Name

PUCKVIMOL SANGBOONCHAI

Original Issue Date

12/31/1969

Effective Date

12/31/1969

Expiration Date

05/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006