BENCHAPORN SAMIPREM - Registered Nurse License in Illinois | # 041281067

BENCHAPORN SAMIPREM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041281067

License Status

INACTIVE

Business

N

First Name

BENCHAPORN

Last Name

SAMIPREM

Business Name

BENCHAPORN SAMIPREM

Original Issue Date

06/01/1994

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

ALSIP

State

IL

Zip

60658

County

COOK

Ever Disciplined

N

LastModifiedDate

03/05/2010