PRAYONG PHONGSIRI - Registered Nurse License in California | # 041120001

PRAYONG PHONGSIRI

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120001

License Status

INACTIVE

Business

N

First Name

PRAYONG

Last Name

PHONGSIRI

Business Name

PRAYONG PHONGSIRI

Original Issue Date

12/16/1966

Effective Date

12/16/1966

Expiration Date

05/31/1992

State

CA

Ever Disciplined

N

LastModifiedDate

09/27/2006