PREMCHIT LERTVICHAVUTI - Registered Nurse License in Illinois | # 041216789

PREMCHIT LERTVICHAVUTI

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041216789

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2012