TAMATHA R PUNNAHITANOND Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041304954

License Status

INACTIVE

Business

First Name

TAMATHA

Middle

Last Name

PUNNAHITANOND

Business Name

TAMATHA R PUNNAHITANOND

Original Issue Date

08/19/1997

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2020