PISAMORN SAMONPAL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134294

License Status

INACTIVE

Business

First Name

PISAMORN

Last Name

SAMONPAL

Business Name

PISAMORN SAMONPAL

Original Issue Date

01/12/1970

Effective Date

01/12/1970

Expiration Date

05/31/1998

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006