PONGSRI INTRALAWAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137758

License Status

NOT RENEWED

Business

First Name

PONGSRI

Last Name

INTRALAWAN

Business Name

PONGSRI INTRALAWAN

Original Issue Date

11/19/1970

Effective Date

11/19/1970

Expiration Date

05/31/1984

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006