PRATOOM THIUMSAK - Registered Nurse License in Illinois | # 041157782

PRATOOM THIUMSAK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157782

License Status

INACTIVE

Business

N

First Name

PRATOOM

Last Name

THIUMSAK

Business Name

PRATOOM THIUMSAK

Original Issue Date

09/11/1974

Effective Date

09/11/1974

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006