Kamlaithong Supradith
InactiveIllinois license 041208103
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041208103
- Status
- Inactive
- First issued
- January 13, 1982
- Expired
- May 31, 2010
- License holder
- Kamlaithong Supradith
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 03/11/2008
Contact
Glenview, IL 60026
Cook County