PREMCHIT LERTVICHAVUTI Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041216789

License Status

INACTIVE

Business

First Name

PREMCHIT

Last Name

LERTVICHAVUTI

Business Name

PREMCHIT LERTVICHAVUTI

Original Issue Date

07/18/1983

Effective Date

04/23/2010

Expiration Date

05/31/2012

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012