SOMPHORN BARTOLO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047964

License Status

NOT RENEWED

Business

First Name

SOMPHORN

Last Name

BARTOLO

Business Name

SOMPHORN BARTOLO

Original Issue Date

01/07/1980

Effective Date

11/07/2014

Expiration Date

01/31/2017

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017