SOODCHIT S PHOPHAIRAT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148474

License Status

NOT RENEWED

Business

First Name

SOODCHIT S

Last Name

PHOPHAIRAT

Business Name

SOODCHIT S PHOPHAIRAT

Original Issue Date

04/16/1973

Effective Date

05/04/2010

Expiration Date

05/31/2012

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012