SUPON PADUNGKIT - Registered Nurse License in Illinois | # 041148448

SUPON PADUNGKIT

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148448

License Status

INACTIVE

Business

N

First Name

SUPON

Last Name

PADUNGKIT

Business Name

SUPON PADUNGKIT

Original Issue Date

04/16/1973

Effective Date

04/16/1973

Expiration Date

05/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006