PITSAMAI INTAWIWAT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130431

License Status

INACTIVE

Business

First Name

PITSAMAI

Last Name

INTAWIWAT

Business Name

PITSAMAI INTAWIWAT

Original Issue Date

03/17/1969

Effective Date

03/17/1969

Expiration Date

05/31/2000

City

FORT MILL

State

Zip

29708

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

09/27/2006