PHANNE SATHISSARAT - Registered Nurse License in Illinois | # 041204440

PHANNE SATHISSARAT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041204440

License Status

NOT RENEWED

Business

N

First Name

PHANNE

Last Name

SATHISSARAT

Business Name

PHANNE SATHISSARAT

Original Issue Date

10/08/1981

Effective Date

06/01/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021