SUDSAWAT LAVAVEJ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153746

License Status

NOT RENEWED

Business

First Name

SUDSAWAT

Last Name

LAVAVEJ

Business Name

SUDSAWAT LAVAVEJ

Original Issue Date

02/22/1974

Effective Date

04/26/2010

Expiration Date

05/31/2012

City

CALUMET PARK

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012