KAMLAITHONG SUPRADITH - Registered Nurse License in Illinois | # 041208103

KAMLAITHONG SUPRADITH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041208103

License Status

INACTIVE

Business

N

First Name

KAMLAITHONG

Last Name

SUPRADITH

Business Name

KAMLAITHONG SUPRADITH

Original Issue Date

01/13/1982

Effective Date

03/11/2008

Expiration Date

05/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2010