KASORN KITSIPONGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041138479

License Status

NOT RENEWED

Business

First Name

KASORN

Last Name

KITSIPONGE

Business Name

KASORN KITSIPONGE

Original Issue Date

12/17/1970

Effective Date

12/17/1970

City

FLUSHING

State

Zip

11366

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006