SIRIPEN LAC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174095

License Status

NOT RENEWED

Business

First Name

SIRIPEN

Last Name

LAC

Business Name

SIRIPEN LAC

Original Issue Date

05/09/1977

Effective Date

05/09/1977

Expiration Date

05/31/1986

City

POUGHKEEPSIE

State

Zip

12601

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006