BANGORN KAMTABNAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135164

License Status

INACTIVE

Business

First Name

BANGORN

Last Name

KAMTABNAM

Business Name

BANGORN KAMTABNAM

Original Issue Date

05/04/1970

Effective Date

04/27/2010

Expiration Date

05/31/2012

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/08/2012