KHANITHA SOPONTAMMARAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041292306

License Status

INACTIVE

Business

First Name

KHANITHA

Last Name

SOPONTAMMARAK

Business Name

KHANITHA SOPONTAMMARAK

Original Issue Date

09/16/1995

Effective Date

09/16/1995

Expiration Date

05/31/1998

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006