CHAMCHAN VONGKANCOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157799

License Status

NOT RENEWED

Business

First Name

CHAMCHAN

Last Name

VONGKANCOM

Business Name

CHAMCHAN VONGKANCOM

Original Issue Date

09/11/1974

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021