AEUMPORN KATCHAMAT - Registered Nurse License in Illinois | # 041211150

AEUMPORN KATCHAMAT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041211150

License Status

NOT RENEWED

Business

N

First Name

AEUMPORN

Last Name

KATCHAMAT

Business Name

AEUMPORN KATCHAMAT

Original Issue Date

11/04/1982

Effective Date

04/08/2016

Expiration Date

05/31/2018

City

PLAINFIELD

State

IL

Zip

60544

County

WILL

Ever Disciplined

N

LastModifiedDate

07/19/2018