PRANEET VONGKANCOM - Registered Nurse License in Illinois | # 041201374

PRANEET VONGKANCOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041201374

License Status

NOT RENEWED

Business

N

First Name

PRANEET

Last Name

VONGKANCOM

Business Name

PRANEET VONGKANCOM

Original Issue Date

03/11/1981

Effective Date

05/31/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021