BOONNONG G PONGCHIEWBOON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134807

License Status

NOT RENEWED

Business

First Name

BOONNONG G

Last Name

PONGCHIEWBOON

Business Name

BOONNONG G PONGCHIEWBOON

Original Issue Date

03/17/1970

Effective Date

03/17/1970

Expiration Date

05/31/2004

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006