SERMSUKH PUKKACUPTA - Registered Nurse License in Illinois | # 041153742

SERMSUKH PUKKACUPTA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153742

License Status

NOT RENEWED

Business

N

First Name

SERMSUKH

Last Name

PUKKACUPTA

Business Name

SERMSUKH PUKKACUPTA

Original Issue Date

02/22/1974

Effective Date

02/22/1974

Expiration Date

05/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006