SUPON PADUNGKIT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148448

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006