AMPORN PIENCHOB - Registered Nurse License in Illinois | # 041137783

AMPORN PIENCHOB

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137783

License Status

INACTIVE

Business

N

First Name

AMPORN

Last Name

PIENCHOB

Business Name

AMPORN PIENCHOB

Original Issue Date

11/19/1970

Effective Date

11/19/1970

Expiration Date

05/31/2006

City

SKOKIE

State

IL

Zip

60077

County

COOK

Ever Disciplined

N

LastModifiedDate

10/09/2006