CHINNAWAT SHANE SUNGKAPAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041443452

License Status

ACTIVE

Business

First Name

CHINNAWAT

Middle

SHANE

Last Name

SUNGKAPAN

Business Name

CHINNAWAT SHANE SUNGKAPAN

Original Issue Date

07/19/2016

Effective Date

03/07/2026

Expiration Date

05/31/2028

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

03/07/2026