PUCKTRA KUNGSADAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153680

License Status

INACTIVE

Business

First Name

PUCKTRA

Last Name

KUNGSADAN

Business Name

PUCKTRA KUNGSADAN

Original Issue Date

02/22/1974

Effective Date

04/05/2010

Expiration Date

05/31/2012

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/08/2012