WALAYA KUSOLVISITKUL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154432

License Status

INACTIVE

Business

First Name

WALAYA

Last Name

KUSOLVISITKUL

Business Name

WALAYA KUSOLVISITKUL

Original Issue Date

04/24/1974

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2010