SRINIUM CHAIVANA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137737

License Status

NOT RENEWED

Business

First Name

SRINIUM

Last Name

CHAIVANA

Business Name

SRINIUM CHAIVANA

Original Issue Date

11/19/1970

Effective Date

11/19/1970

Expiration Date

05/01/1982

City

WILLOWBROOK

State

Zip

60616

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006