VALLAPA KONGSRI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157611

License Status

NOT RENEWED

Business

First Name

VALLAPA

Last Name

KONGSRI

Business Name

VALLAPA KONGSRI

Original Issue Date

09/11/1974

Effective Date

06/10/2020

Expiration Date

08/31/2022

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022