License Directory

Suporn Kulchaiyawat

Expired

Illinois license 041210671

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
041210671
Status
Expired (Not Renewed)
First issued
August 3, 1982
Expired
May 31, 2000
License holder
Suporn Kulchaiyawat
Entity type
Individual

Classifications

  • Registered Professional Nurse (Nursing Board) Nursing

More from the license record

Current term began
08/03/1982

Contact

Des Moines, IA 56316
Iowa County