BOONJUA MOOSIKKAMOL - Registered Nurse License in Illinois | # 041134803

BOONJUA MOOSIKKAMOL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134803

License Status

NOT RENEWED

Business

N

First Name

BOONJUA

Last Name

MOOSIKKAMOL

Business Name

BOONJUA MOOSIKKAMOL

Original Issue Date

03/17/1970

Effective Date

04/17/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021