AMPUN MANORAT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041267553

License Status

NOT RENEWED

Business

First Name

AMPUN

Last Name

MANORAT

Business Name

AMPUN MANORAT

Original Issue Date

04/16/1992

Effective Date

03/26/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014