MALEE PITICAVONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153736

License Status

NOT RENEWED

Business

First Name

MALEE

Last Name

PITICAVONG

Business Name

MALEE PITICAVONG

Original Issue Date

02/22/1974

Effective Date

02/22/1974

Expiration Date

05/31/2008

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008