SUPAVADI RAMNARONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165081

License Status

INACTIVE

Business

First Name

SUPAVADI

Last Name

RAMNARONG

Business Name

SUPAVADI RAMNARONG

Original Issue Date

10/24/1975

Effective Date

10/24/1975

City

FORT WAYNE

State

Zip

46805

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006