PAUNGPHEN POOVACHINDA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154534

License Status

NOT RENEWED

Business

First Name

PAUNGPHEN

Last Name

POOVACHINDA

Business Name

PAUNGPHEN POOVACHINDA

Original Issue Date

04/24/1974

Effective Date

04/24/1974

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006