AUMPHOT MANDACHIT - Registered Nurse License in Missouri | # 041154196

AUMPHOT MANDACHIT

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154196

License Status

INACTIVE

Business

N

First Name

AUMPHOT

Last Name

MANDACHIT

Business Name

AUMPHOT MANDACHIT

Original Issue Date

04/24/1974

Effective Date

04/24/1974

State

MO

Ever Disciplined

N

LastModifiedDate

09/27/2006