PRAKONG DEOISARES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165848

License Status

NOT RENEWED

Business

First Name

PRAKONG

Last Name

DEOISARES

Business Name

PRAKONG DEOISARES

Original Issue Date

03/09/1976

Effective Date

03/09/1976

City

BRONX

State

Zip

10457

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006