LADDA KISAMANONTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154997

License Status

NOT RENEWED

Business

First Name

LADDA

Last Name

KISAMANONTA

Business Name

LADDA KISAMANONTA

Original Issue Date

07/01/1974

Effective Date

07/01/1974

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006