SUPALAK SOOKSIRINAETISART Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041106668

License Status

NOT RENEWED

Business

First Name

SUPALAK

Last Name

SOOKSIRINAETISART

Business Name

SUPALAK SOOKSIRINAETISART

Original Issue Date

07/10/1963

Effective Date

07/10/1963

City

SOUTHHAVEN

State

Zip

38671

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

09/27/2006