PAYOM BOONVIRATANA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154916

License Status

INACTIVE

Business

First Name

PAYOM

Last Name

BOONVIRATANA

Business Name

PAYOM BOONVIRATANA

Original Issue Date

07/01/1974

Effective Date

07/01/1974

City

EMPORIA

State

Zip

66801

County

KANSAS

Ever Disciplined

LastModifiedDate

09/27/2006