SUTHAPORN TAVEERATANA - Registered Nurse License in Illinois | # 041134869

SUTHAPORN TAVEERATANA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134869

License Status

NOT RENEWED

Business

N

First Name

SUTHAPORN

Last Name

TAVEERATANA

Business Name

SUTHAPORN TAVEERATANA

Original Issue Date

03/19/1970

Effective Date

03/19/1970

Expiration Date

05/31/1986

City

CHICAGO

State

IL

Zip

60660

County

COOK

Ever Disciplined

N

LastModifiedDate

09/27/2006