SUPATTRA WATANATHAI Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154616

License Status

INACTIVE

Business

First Name

SUPATTRA

Last Name

WATANATHAI

Business Name

SUPATTRA WATANATHAI

Original Issue Date

04/24/1974

Effective Date

04/24/1974

Expiration Date

05/31/1984

City

KANSAS CITY

State

Zip

64152

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006