Srisamorn Bancham
InactiveIllinois license 041195968
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041195968
- Status
- Inactive
- First issued
- July 3, 1980
- Expired
- May 31, 1988
- License holder
- Srisamorn Bancham
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 07/03/1980
Contact
West Covina, CA 91790
California County