PREMCHIT WANGSA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134191

License Status

NOT RENEWED

Business

First Name

PREMCHIT

Last Name

WANGSA

Business Name

PREMCHIT WANGSA

Original Issue Date

01/05/1970

Effective Date

01/05/1970

City

TAKOMA PARK

State

Zip

20012

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/27/2006