PHONGSUDA SANAKIJ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134199

License Status

INACTIVE

Business

First Name

PHONGSUDA

Last Name

SANAKIJ

Business Name

PHONGSUDA SANAKIJ

Original Issue Date

01/05/1970

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2010