SUDCHITT CHAMNIVICKORN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158171

License Status

INACTIVE

Business

First Name

SUDCHITT

Last Name

CHAMNIVICKORN

Business Name

SUDCHITT CHAMNIVICKORN

Original Issue Date

12/06/1974

Effective Date

12/06/1974

Expiration Date

05/31/1990

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006