NGAMCHIT PHATOOMMAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174167

License Status

NOT RENEWED

Business

First Name

NGAMCHIT

Last Name

PHATOOMMAS

Business Name

NGAMCHIT PHATOOMMAS

Original Issue Date

07/28/1977

Effective Date

07/28/1977

Expiration Date

05/31/2002

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/09/2006