BANLU VITAYAUDOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157798

License Status

NOT RENEWED

Business

First Name

BANLU

Last Name

VITAYAUDOM

Business Name

BANLU VITAYAUDOM

Original Issue Date

09/11/1974

Effective Date

09/11/1974

Expiration Date

05/31/1996

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006