IDA ABANGAN OUDOMSOUK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270961

License Status

NOT RENEWED

Business

First Name

IDA ABANGAN

Last Name

OUDOMSOUK

Business Name

IDA ABANGAN OUDOMSOUK

Original Issue Date

10/07/1992

Effective Date

10/07/1992

Expiration Date

05/31/1996

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006