BENJA RACHATAWATH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135725

License Status

INACTIVE

Business

First Name

BENJA

Last Name

RACHATAWATH

Business Name

BENJA RACHATAWATH

Original Issue Date

01/31/1970

Effective Date

01/31/1970

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006