SOURITH VANKHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041350942

License Status

NOT RENEWED

Business

First Name

SOURITH

Last Name

VANKHAM

Business Name

SOURITH VANKHAM

Original Issue Date

02/07/2006

Effective Date

02/07/2006

Expiration Date

05/31/2008

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008