PRATHUM VICHAIKUL - Registered Nurse License in Illinois | # 041135138

PRATHUM VICHAIKUL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135138

License Status

NOT RENEWED

Business

N

First Name

PRATHUM

Last Name

VICHAIKUL

Business Name

PRATHUM VICHAIKUL

Original Issue Date

04/29/1970

Effective Date

04/02/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014