LADARAT TANG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144901

License Status

NOT RENEWED

Business

First Name

LADARAT

Last Name

TANG

Business Name

LADARAT TANG

Original Issue Date

09/29/1972

Effective Date

04/26/2010

Expiration Date

05/31/2012

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/10/2012