NITTAYA VISALVANICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041191741

License Status

NOT RENEWED

Business

First Name

NITTAYA

Last Name

VISALVANICH

Business Name

NITTAYA VISALVANICH

Original Issue Date

10/17/1979

Effective Date

05/23/2018

Expiration Date

09/30/2020

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021