LIDIA BUMROONGSUK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041156563

License Status

INACTIVE

Business

First Name

LIDIA

Last Name

BUMROONGSUK

Business Name

LIDIA BUMROONGSUK

Original Issue Date

09/11/1974

Effective Date

03/23/2012

Expiration Date

05/31/2014

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014