CHETANA PITUKTHERATUM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148478

License Status

INACTIVE

Business

First Name

CHETANA

Last Name

PITUKTHERATUM

Business Name

CHETANA PITUKTHERATUM

Original Issue Date

04/16/1973

Effective Date

04/16/1973

Expiration Date

05/31/1990

City

ALSIP

State

Zip

60658

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006