Premchit Lertvichavuti
InactiveIllinois license 041216789
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041216789
- Status
- Inactive
- First issued
- July 18, 1983
- Expired
- May 31, 2012
- License holder
- Premchit Lertvichavuti
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 04/23/2010
Contact
Alsip, IL 60803
Cook County