PENCHAN LERTBURAPA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041208522

License Status

NOT RENEWED

Business

First Name

PENCHAN

Last Name

LERTBURAPA

Business Name

PENCHAN LERTBURAPA

Original Issue Date

03/10/1982

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

LEMONT

State

Zip

60439

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021