CHINTANA VONGFAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154614

License Status

NOT RENEWED

Business

First Name

CHINTANA

Last Name

VONGFAK

Business Name

CHINTANA VONGFAK

Original Issue Date

04/24/1974

Effective Date

04/24/1974

Expiration Date

05/31/2002

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006