MANTHANA BOONJARERN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189372

License Status

INACTIVE

Business

First Name

MANTHANA

Last Name

BOONJARERN

Business Name

MANTHANA BOONJARERN

Original Issue Date

10/17/1979

Effective Date

04/26/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012