PRATHUM VICHAIKUL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135138

License Status

NOT RENEWED

Business

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

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/03/2014