KAECIE O SUMALPONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041363003

License Status

INACTIVE

Business

First Name

KAECIE

Middle

Last Name

SUMALPONG

Business Name

KAECIE O SUMALPONG

Original Issue Date

08/28/2007

Effective Date

05/05/2010

Expiration Date

05/31/2012

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012