SUDA PHUMIRUK - Registered Nurse License in Illinois | # 041161460

SUDA PHUMIRUK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161460

License Status

NOT RENEWED

Business

N

First Name

SUDA

Last Name

PHUMIRUK

Business Name

SUDA PHUMIRUK

Original Issue Date

09/08/1975

Effective Date

09/08/1975

Expiration Date

05/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006