PUCKVIMOL SANGBOONCHAI Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134165

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006