PISIT PHRUTTITUM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135720

License Status

INACTIVE

Business

First Name

PISIT

Last Name

PHRUTTITUM

Business Name

PISIT PHRUTTITUM

Original Issue Date

04/30/1970

Effective Date

04/30/1970

Expiration Date

05/31/1992

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

09/27/2006