SUPA CHONGDEE - Registered Nurse License in Illinois | # 041135136

SUPA CHONGDEE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135136

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006