SUDA PHUMIRUK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161460

License Status

NOT RENEWED

Business

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

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006