SUSAN E KITTIVANICHKULKRAI Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041382316

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

KITTIVANICHKULKRAI

Business Name

SUSAN E KITTIVANICHKULKRAI

Original Issue Date

02/23/2010

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/28/2026