VASANA KETRUANGROCH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145845

License Status

INACTIVE

Business

First Name

VASANA

Last Name

KETRUANGROCH

Business Name

VASANA KETRUANGROCH

Original Issue Date

11/03/1972

Effective Date

11/03/1972

Expiration Date

05/31/2008

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/11/2008