LADDA SURIBOOT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153779

License Status

INACTIVE

Business

First Name

LADDA

Last Name

SURIBOOT

Business Name

LADDA SURIBOOT

Original Issue Date

02/22/1974

Effective Date

02/22/1974

Expiration Date

05/31/1988

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006