PUSADEE SURISOOK - Registered Nurse License in Illinois | # 041134260

PUSADEE SURISOOK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134260

License Status

INACTIVE

Business

N

First Name

PUSADEE

Last Name

SURISOOK

Business Name

PUSADEE SURISOOK

Original Issue Date

01/08/1970

Effective Date

01/08/1970

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006