SUPA CHONGDEE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135136

License Status

INACTIVE

Business

First Name

SUPA

Last Name

CHONGDEE

Business Name

SUPA CHONGDEE

Original Issue Date

04/29/1970

Effective Date

04/29/1970

Expiration Date

05/31/2006

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006