Tangsurat Wilaiwan
InactiveIllinois license 041189370
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041189370
- Status
- Inactive
- First issued
- October 17, 1979
- Expired
- May 31, 1990
- License holder
- Tangsurat Wilaiwan
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 10/17/1979
Contact
Duarte, CA 91010
California County