SAMRAUY PETEHTHONG - Registered Nurse License in California | # 041172423

SAMRAUY PETEHTHONG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172423

License Status

NOT RENEWED

Business

N

First Name

SAMRAUY

Last Name

PETEHTHONG

Business Name

SAMRAUY PETEHTHONG

Original Issue Date

12/02/1976

Effective Date

12/02/1976

State

CA

Ever Disciplined

N

LastModifiedDate

09/27/2006