MARISA SURIYAVONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041267268

License Status

NOT RENEWED

Business

First Name

MARISA

Last Name

SURIYAVONG

Business Name

MARISA SURIYAVONG

Original Issue Date

04/16/1992

Effective Date

05/23/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014