KAMLAITHONG SUPRADITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041208103

License Status

INACTIVE

Business

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

City

GLENVIEW

State

Zip

60026

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2010