CHONGPOPSUK SURISOOK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078970

License Status

INACTIVE

Business

First Name

CHONGPOPSUK

Last Name

SURISOOK

Business Name

CHONGPOPSUK SURISOOK

Original Issue Date

02/27/1996

Expiration Date

01/31/1997

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005