SERMSUKH PUKKACUPTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153742

License Status

NOT RENEWED

Business

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

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006