SUDAPORN BOONMONTHIRA - Registered Nurse License in Louisiana | # 041173440

SUDAPORN BOONMONTHIRA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041173440

License Status

INACTIVE

Business

N

First Name

SUDAPORN

Last Name

BOONMONTHIRA

Business Name

SUDAPORN BOONMONTHIRA

Original Issue Date

05/12/1977

Effective Date

05/12/1977

City

NEW ORLEANS

State

LA

Zip

70112

County

LOUISIANA

Ever Disciplined

N

LastModifiedDate

09/27/2006