KHANITHA SOPONTAMMARAK - Registered Nurse License in Illinois | # 041292306

KHANITHA SOPONTAMMARAK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041292306

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006