GLEOPAN SUPATTANASIRI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119840

License Status

NOT RENEWED

Business

First Name

GLEOPAN

Last Name

SUPATTANASIRI

Business Name

GLEOPAN SUPATTANASIRI

Original Issue Date

11/09/1966

Effective Date

11/09/1966

Expiration Date

05/31/2004

City

CARUTHERSVILLE

State

Zip

63830

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006