PRACHUAB KOBTHUM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172201

License Status

INACTIVE

Business

First Name

PRACHUAB

Last Name

KOBTHUM

Business Name

PRACHUAB KOBTHUM

Original Issue Date

12/10/1976

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2010