ANDY X ROUNGTAKOUN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041552798

License Status

ACTIVE

Business

First Name

ANDY

Middle

Last Name

ROUNGTAKOUN

Business Name

ANDY X ROUNGTAKOUN

Original Issue Date

09/26/2023

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/01/2026