NIYOM MANTASOOT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148377

License Status

NOT RENEWED

Business

First Name

NIYOM

Last Name

MANTASOOT

Business Name

NIYOM MANTASOOT

Original Issue Date

04/16/1973

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

HOFFMAN EST

State

Zip

60192

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012