SANGDAUN DEJATIVONGSE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157498

License Status

NOT RENEWED

Business

First Name

SANGDAUN

Last Name

DEJATIVONGSE

Business Name

SANGDAUN DEJATIVONGSE

Original Issue Date

09/11/1974

Effective Date

05/10/2016

Expiration Date

05/31/2018

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/19/2018