CHETANA PITUKTHERATUM - Registered Nurse License in Illinois | # 041148478

CHETANA PITUKTHERATUM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148478

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006